Ronald Kent Wagner DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2113 Issued in NV

Legal business name

RONALD KENT WAGNER DDS PC

Practice address

2045 Village Center Circle
Las Vegas, NV 89134

Phone

(702) 878-5599

Fax

(702) 878-0173

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By 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

Ronald Kent Wagner, DDSNPI 1699783530

Title

Dentist Owner

Phone

(702) 878-5599

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Kent Wagner, DDS

  • Dentist
  • Las Vegas, NV
  • NPI 1699783530
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609884543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 VILLAGE CENTER CIRCLE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-878-5599",
            "fax_number": "702-878-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 VILLAGE CENTER CIRCLE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-878-5599",
            "fax_number": "702-878-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD KENT WAGNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "702-878-5599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV ID",
            "identifier": "539358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Zedek MD, PC, Dba: Nevada Behavioral Solutions
• Maria Cristina Rona
• Ronald a Shockley MD a Professional Corporation (Infectious Disease Partners of Nevada)
• Ronald G Kong M D a Professional Corporation
• Ronald J Kohn Family Medicine Professional Corp
• Ronald Morris LLC
• Joyce Sta. Maria Ronan
• Alessandro Harlow Ronconi, DPT
• Jacqueline Rondin
• Danais Rondon

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.