Individual provider Active NPI

Eryn Ence, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1427499888
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3274 Issued in NV
Practice address
8490 S Eastern Ave Ste a
Las Vegas, NV 89123-2806
Phone
(702) 260-8241
Fax
(702) 260-8251
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3274 NV Primary
Dentist 122300000X 6440 OK

Addresses

Primary practice location

8490 S Eastern Ave Ste a
Las Vegas, NV 89123-2806

Mailing address

123 NE 2ND St Apt 451
Oklahoma City, OK 73104-2269
Phone (405) 271-4148

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S3274NVMDOrthodontics and Dentofacial Orthopedic Dentist
6440OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Envy PLLC Dentist Current Accepting new patients

Locations

8490 S Eastern Ave
Ste A
Las Vegas, NV 89123
Phone (702) 260-8241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1427499888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NE 2ND ST APT 451",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042269",
            "telephone_number": "405-271-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 S EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232806",
            "telephone_number": "702-260-8241",
            "fax_number": "702-260-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCE",
        "first_name": "ERYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3274",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.