NPIMap

Organization Active NPI

Mugleston Macdonald Rach Modern Dentistry, PC

Doing business as Mugleston MacDonald Ranch Modern Dentistry

  • Dentist
  • Henderson, NV
National Provider Identifier
1346675386
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MUGLESTON MACDONALD RACH MODERN DENTISTRY, PC
Doing business as
Mugleston MacDonald Ranch Modern Dentistry
Practice address
725 South Green Valley Parkway Suite 100
Henderson, NV 89052
Phone
(702) 560-5231
Fax
(702) 560-5249
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Dr. Cody P Mugleston, DMD
Title
Owner Doctor
Phone
(702) 560-5231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

725 South Green Valley Parkway Suite 100
Henderson, NV 89052

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Mugleston MacDonald Ranch Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

725 S Green Valley Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 560-5231

Practitioners & affiliated clinicians

Practitioners 4

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1346675386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "714-845-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SOUTH GREEN VALLEY PARKWAY SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-560-5231",
            "fax_number": "702-560-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUGLESTON MACDONALD RACH MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "MUGLESTON",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "702-560-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mugleston MacDonald Ranch Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.