Organization Active NPI

It'S My Smile

  • Dentist
  • Reno, NV
National Provider Identifier
1508230772
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IT'S MY SMILE
Practice address
10455 Double R Blvd Ste 101
Reno, NV 89521-8905
Phone
(775) 852-8336
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Roger Helwig
Title
Coo
Phone
(775) 336-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10455 Double R Blvd Ste 101
Reno, NV 89521-8905

Mailing address

3605 Grant Dr
Reno, NV 89509-5301
Phone (775) 336-1510

National Provider Directory

National Provider Directory

Locations

10455 Double R Blvd
Ste 101
Reno, NV 89521
Phone (775) 284-2500

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1508230772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-336-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 DOUBLE R BLVD STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-852-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT'S MY SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "HELWIG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "775-336-1510"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2015; 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.