Individual provider Active NPI

Bowen Ressler

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1467157883
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7845 Issued in NV
Practice address
6115 S Rainbow Blvd Ste 102
Las Vegas, NV 89118-3252
Phone
(808) 769-1993
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7845 NV Primary

Addresses

Primary practice location

6115 S Rainbow Blvd Ste 102
Las Vegas, NV 89118-3252

Mailing address

322 Karen Ave Unit 704
Las Vegas, NV 89109-0419
Phone (808) 769-1993

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
7845NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ressler Comprehensive Dentistry Current Accepting new patients

Locations

6115 S Rainbow Blvd
Ste 102
Las Vegas, NV 89118
Phone (702) 880-4141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1467157883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE UNIT 704",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090419",
            "telephone_number": "808-769-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183252",
            "telephone_number": "808-769-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "BOWEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7845",
            "primary": true
        }
    ],
    "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 Nov 20, 2024; 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.