Active NPI
Eric J Homze, D.D.S.
- General Practice Dentistry
- Fernley, NV
National Provider Identifier
1609149343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160129002168 | NV | Order and Referring Only - Dentist | 1355300542 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2983 | NV | MD | Sports 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.