NPIMap

Organization Active NPI

Fort McDermitt Tribe

Doing business as Fort McDermitt Wellness Center

  • Pediatric Dentistry
  • McDermitt, NV
National Provider Identifier
1285173773
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FORT MCDERMITT TRIBE
Doing business as
Fort McDermitt Wellness Center
Practice address
112 No Reservation Rd
McDermitt, NV 89421-0315
Phone
(775) 532-8522
Fax
(775) 532-8522
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Barr
Title
Cfo
Phone
(775) 532-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

112 No Reservation Rd
McDermitt, NV 89421-0315

Mailing address

112 No Reservation Rd
McDermitt, NV 89421-0315
Phone (775) 532-8522

Other names 1

  • Fort McDermitt Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fort McDermitt Tribe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1285173773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NO RESERVATION RD",
            "city": "MCDERMITT",
            "state": "NV",
            "postal_code": "894210315",
            "telephone_number": "775-532-8522",
            "fax_number": "775-532-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NO RESERVATION RD",
            "city": "MCDERMITT",
            "state": "NV",
            "postal_code": "894210315",
            "telephone_number": "775-532-8522",
            "fax_number": "775-532-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MCDERMITT TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-532-8259"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort McDermitt Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDermitt, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.