Organization Active NPI

Incline Dental Care, LLC

  • General Practice Dentistry
  • Incline Village, NV
National Provider Identifier
1316510001
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INCLINE DENTAL CARE, LLC
Practice address
231 Village Blvd
Incline Village, NV 89451-9415
Phone
(775) 831-3466
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Aleta Beuter
Title
Credentialing Specialist
Phone
(775) 409-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

231 Village Blvd
Incline Village, NV 89451-9415

Mailing address

3605 Grant Dr
Reno, NV 89509-5301
Phone (775) 409-4614

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aleta@bluetreedental.com Direct
Direct Messaging Address aleta@bluetreedental.com

National Provider Directory

National Provider Directory

Locations

231 Village Blvd
Incline Village, NV 89451
Phone (775) 831-3466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1316510001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 VILLAGE BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519415",
            "telephone_number": "775-831-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLINE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BEUTER",
        "authorized_official_first_name": "ALETA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "775-409-4614"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleta@bluetreedental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Village Blvd",
            "city": "Incline Village",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894519415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleta@bluetreedental.com",
            "affiliation": "N",
            "address_1": "231 Village Blvd",
            "city": "Incline Village",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894519415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.