Individual provider Active NPI

Vedran Dupanovic, DDS

  • Dentist
  • Reno, NV
National Provider Identifier
1326424250
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7294 Issued in NV
Practice address
525 E Moana LN
Reno, NV 89502
Phone
(775) 589-2303
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7294 NV Primary

Addresses

Primary practice location

525 E Moana LN
Reno, NV 89502

Mailing address

1201 N Nevada St
Carson City, NV 89703-3810
Phone (772) 882-2290

Other practice location 1

1201 N Nevada St
Carson City, NV 89703
Phone (775) 882-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7294NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dupanovic DDS PLLC Dentist CurrentSince Aug 23, 2020 Accepting new patients

Locations

1201 N Nevada St
Carson City, NV 89703
Phone (775) 882-2290

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1326424250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N NEVADA ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033810",
            "telephone_number": "772-882-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-589-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Nevada St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "89703",
            "country_code": "US",
            "telephone_number": "775-882-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPANOVIC",
        "first_name": "VEDRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.