Active NPI
Jessica Ann Silva, DMD
- Periodontics
- Henderson, NV
National Provider Identifier
1619302353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DL12012
- Practice address
- 710 Coronado Center Dr
Suite 100
Henderson, NV 89052-4289 - Phone
- (702) 260-0102
- Fax
- (702) 260-0881
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DL12012 | MA | Primary |
| Periodontics | 1223P0300X | 6797 | NV |
Addresses
Primary practice location
710 Coronado Center Dr
Suite 100
Henderson, NV 89052-4289
Mailing address
1005 Wigwam Pkwy
Apt. 24106
Henderson, NV 89074-8247
Phone (559) 288-5377
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 |
|---|---|---|---|---|
| I20170303000134 | NV | Order and Referring Only - Other (Physician) | 4587948997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL12012 | MA | MD | Periodontist |
| 6797 | NV | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1619302353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 WIGWAM PKWY",
"address_2": "APT. 24106",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748247",
"telephone_number": "559-288-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CORONADO CENTER DR",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524289",
"telephone_number": "702-260-0102",
"fax_number": "702-260-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DL12012",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NV",
"license": "6797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
- Silk Medical Associates LTD (Care10 Urgent Care)
- Joshua Allen Sillitoe
- Clarissa Silva Jones, MS
- Christeen Sonaly Silva, PSY.D.
- Diana Silva
- Silver Dolphin Behavioral Health
- Silver Nest LLC (Always Best Care)
- Silver State Field Medical Group, LLC (Home Visiting Doctors)
- Silver State Health Partners
- Silver State Hearing and Balance Las Vegas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.