Individual provider Active NPI

Eric J Homze, D.D.S.

  • General Practice Dentistry
  • Fernley, NV
National Provider Identifier
1609149343
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2983 Issued in NV
Practice address
300 US Highway 95a S
Fernley, NV 89408-9721
Phone
(775) 575-0777
Fax
(775) 575-1336
NPI assigned
Feb 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2983 NV Primary

Addresses

Primary practice location

300 US Highway 95a S
Fernley, NV 89408-9721

Mailing address

7900 Meadow Vista Dr
Reno, NV 89511-2001
Phone (775) 575-0777

Other names 1

  • Dr. Eric J Homze Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129002168 NV Order and Referring Only - DentistPractitioner - Dentist 1355300542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2983NVMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1609149343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MEADOW VISTA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112001",
            "telephone_number": "775-575-0777",
            "fax_number": "775-575-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 US HIGHWAY 95A S",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089721",
            "telephone_number": "775-575-0777",
            "fax_number": "775-575-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMZE",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "HOMZE",
            "middle_name": "J",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fernley, NV

Sources for this page

Verify at the official NPI Registry.