NPIMap

Organization Active NPI

Small Smiles of Reno, LLC

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1508815747
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMALL SMILES OF RENO, LLC
Practice address
3362 S. McCarran Blvd.
Reno, NV 89502
Phone
(775) 329-5437
Fax
(775) 829-1553
NPI assigned
May 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mr. James Lester Mann, D.D.S.NPI 1346330479
Title
Owner Dentist/Lead
Phone
(775) 329-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X NV Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X NV

Addresses

Primary practice location

3362 S. McCarran Blvd.
Reno, NV 89502

Mailing address

3362 S. McCarran Blvd.
Reno, NV 89502
Phone (775) 329-5437

Other identifiers 1

IdentifierTypeStateIssuer
1508815747MedicaidNV

National Provider Directory

National Provider Directory

Locations

3362 S McCarran Blvd
Reno, NV 89502
Phone (775) 329-5437

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1508815747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 S. MCCARRAN BLVD.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-329-5437",
            "fax_number": "775-829-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 S. MCCARRAN BLVD.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-329-5437",
            "fax_number": "775-829-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES OF RENO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "OWNER DENTIST/LEAD",
        "authorized_official_telephone_number": "775-329-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508815747",
            "state": "NV"
        }
    ],
    "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 Jun 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.