NPIMap

Organization Active NPI

Sala Family Dentistry Pedo, LTD.

  • Pediatric Dentistry
  • Reno, NV
National Provider Identifier
1649655432
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-40 Issued in NV
Legal business name
SALA FAMILY DENTISTRY PEDO, LTD.
Practice address
4875 Summit Ridge Dr
Reno, NV 89523-7936
Phone
(775) 322-2061
NPI assigned
Jul 22, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Todd Gray, DDS
Title
Pedo Ortho Manager
Phone
(775) 322-2061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X S6-40 NV Primary

Addresses

Primary practice location

4875 Summit Ridge Dr
Reno, NV 89523-7936

Mailing address

4875 Summit Ridge Dr
Reno, NV 89523-7936
Phone (775) 322-2061

National Provider Directory

National Provider Directory

Locations

4875 Summit Ridge Dr
Reno, NV 89523
Phone (775) 200-1660

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1649655432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 SUMMIT RIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895237936",
            "telephone_number": "775-322-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 SUMMIT RIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895237936",
            "telephone_number": "775-322-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALA FAMILY DENTISTRY PEDO, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PEDO ORTHO MANAGER",
        "authorized_official_telephone_number": "775-322-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.