NPIMap

Organization Active NPI

Kid Dental Carson City, LLC

  • Pediatric Dentistry
  • Carson City, NV
National Provider Identifier
1568028181
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KID DENTAL CARSON CITY, LLC
Practice address
314 W Fifth St
Carson City, NV 89703-4604
Phone
(775) 882-1111
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Angela Golden
Title
Owner / Memebr
Phone
(775) 846-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

314 W Fifth St
Carson City, NV 89703-4604

Mailing address

2745 Beach River Dr
Reno, NV 89521-6223
Phone (775) 846-4777

Other names 1

  • First Care Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Care Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

314 W Fifth St
Carson City, NV 89703
Phone (775) 882-1111

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1568028181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 BEACH RIVER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216223",
            "telephone_number": "775-846-4777",
            "fax_number": "775-525-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W FIFTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034604",
            "telephone_number": "775-882-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID DENTAL CARSON CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER / MEMEBR",
        "authorized_official_telephone_number": "775-846-4777"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.