NPIMap

Organization Active NPI

Dignity Health

  • Dental Clinic/Center
  • Reno, NV
National Provider Identifier
1508038860
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIGNITY HEALTH
Practice address
1510 Meadow Wood LN
Reno, NV 89502-8503
Phone
(775) 770-3456
Fax
(775) 770-6110
NPI assigned
Mar 27, 2008
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
John Deakyne
Title
Chief Financial Officer
Phone
(775) 770-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1510 Meadow Wood LN
Reno, NV 89502-8503

Mailing address

5250 Neil Rd
Suite 103
Reno, NV 89502-6555
Phone (775) 770-3558

Other names 1

  • Saint Mary's WIC Dental Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Healthcare West74 organizations share this tax ID, including this one
Part of
Catholic Healthcare West

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

5250 Neil Rd
Ste 103
Reno, NV 89502
Phone (775) 823-1999

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1508038860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 NEIL RD",
            "address_2": "SUITE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026555",
            "telephone_number": "775-770-3558",
            "fax_number": "775-770-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MEADOW WOOD LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028503",
            "telephone_number": "775-770-3456",
            "fax_number": "775-770-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2008-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "DEAKYNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-770-6239"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's WIC Dental Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.