Kid Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4833 Issued in NV

Legal business name

KID DENTAL LLC

Practice address

1301 N McCarran Blvd Ste 104
Sparks, NV 89431-3870

Phone

(775) 825-5005

Fax

(775) 624-8188

NPI assigned

Jan 2, 2015

Organization subpart

Yes

Parent organization

KID DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Roy Delappe, DDS

Title

Owner/Dentist

Phone

(775) 825-5005

Specialties & licenses 1

Addresses

Tax ID family

Kid Dental LLC2 organizations share this tax ID, including this one

Part of

Kid Dental LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kid Dental, LLC

  • General Practice Dentistry
  • Reno, NV
  • NPI 1912206335
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kid Dental, LLC

  • General Practice Dentistry
  • Reno, NV
  • NPI 1912206335
  NPPES parent name

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1518355395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N MCCARRAN BLVD STE 104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313870",
            "telephone_number": "775-825-5005",
            "fax_number": "775-624-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N MCCARRAN BLVD STE 104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313870",
            "telephone_number": "775-825-5005",
            "fax_number": "775-624-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KID DENTAL LLC",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "DELAPPE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "775-825-5005",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kate Ketz
• Young Soon Keum, FNP-BC
• Kevin J Andrews DDS Ms a Professional Corporation
• Key Learning Concepts LLC
• Kylie A Kibala, RBT
• Helen Kidane, BCBA
• Dylan Kidd
• Kids First LLC
• Cory WM Kilgallen, PHARMD.
• James V Kilgore

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, 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 Jan 2, 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.