The Dentists' Office Fernley LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE DENTISTS' OFFICE FERNLEY LLC

Practice address

90 Falcon Dr Ste 110
Fernley, NV 89408-4729

Phone

(775) 336-1510

NPI assigned

Jun 12, 2017

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nate Rockwell

Title

Cfo

Phone

(775) 336-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1528598679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DRIVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-336-1510",
            "fax_number": "775-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FALCON DR STE 110",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894084729",
            "telephone_number": "775-336-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTISTS' OFFICE FERNLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-336-1510"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1223P0221X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Taylor
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• General Practice Dentistry in Fernley, NV
• Providers in Fernley, 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 Jul 6, 2023; 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.