Northern Nevada Dental Health Programs

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHERN NEVADA DENTAL HEALTH PROGRAMS

Practice address

5605 Riggins CT Ste 101a
Reno, NV 89502-6575

Phone

(775) 982-7989

Fax

(775) 337-0298

NPI assigned

Mar 24, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Pisani, DDS

Title

President

Phone

(775) 337-0296

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Healthy Smile Healthy Child Other name

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1427220037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 RIGGINS CT STE 101A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026575",
            "telephone_number": "775-982-7989",
            "fax_number": "775-337-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 RIGGINS CT STE 101A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026575",
            "telephone_number": "775-982-7989",
            "fax_number": "775-337-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-870-4309",
            "fax_number": "775-870-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN NEVADA DENTAL HEALTH PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-337-0296",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002216008",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002216200",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smile Healthy Child",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northern Nevada Anesthesiology PC
• Northern Nevada Behavioral Health Systems LLC
• Northern Nevada Behavioral Healthcare, LLC
• Northern Nevada Chiropractic Inc
• Northern Nevada Chiropractic LLC
• Northern Nevada Dental Specialties Group (My Kid's Smile)
• Northern Nevada Dental Specialties Group, LLC (My Kids Smile)
• Northern Nevada Dental Specialties Group, LLC (Legendary Smiles)
• Northern Nevada HIV Outpatient Program Education and Services
• Northern Nevada HIV Outpatient Program Education and Services

• Dental Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.