Christian Rene Peralta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6477 Issued in NV

Practice address

2900 Clear Acre LN
Suite. S
Reno, NV 89512-1712

Phone

(775) 337-6453

Fax

(775) 337-2843

NPI assigned

Oct 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Just Smiles Dental Care, McGruder P.C.

  • Dental Clinic/Center
  • Reno, NV
  • NPI 1639306517
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1457789448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CLEAR ACRE LN",
            "address_2": "SUITE. S",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121712",
            "telephone_number": "775-337-6453",
            "fax_number": "775-337-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CLEAR ACRE LN",
            "address_2": "SUITE. S",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121712",
            "telephone_number": "775-337-6453",
            "fax_number": "775-337-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "CHRISTIAN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Penrod, PHARM D
• People Builders
• Francis W Pepe, PA-C
• Jessica Bianca Peppitoni, DNP
• Yessica Peralta Gonzalez
• Gianni Boitano Perano, MD
• Piedad Perdomo
• Ward Perdue
• Robert Perea
• Deanna Uilani Peredo

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.