Individual provider Active NPI

John L Bocchi, D.D.S.

  • Dentist
  • Reno, NV
National Provider Identifier
1407069099
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4783 Issued in NV
Practice address
5465 Kietzke Lane
Reno, NV 89511-1088
Phone
(775) 786-1911
Fax
(775) 786-8149
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170126002702 NV Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1759663727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4783NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by Bocchi PLLC, Current Accepting new patients
Sierra Smiles, PLLC CurrentSince Jan 17, 2021 Accepting new patients
Sierra Sleep and Airway LLC Dentist Current Accepting new patients

Locations

5465 Kietzke Ln
Reno, NV 89511
Phone (775) 786-1911

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4783 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

5465 Kietzke Lane
Reno, NV 89511-1088

Mailing address

5465 Kietzke Lane
Reno, NV 89511-1088
Phone (775) 786-1911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2021.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1407069099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 KIETZKE LANE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-786-1911",
            "fax_number": "775-786-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 KIETZKE LANE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-786-1911",
            "fax_number": "775-786-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCHI",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.