Organization Active NPI

Yelena Piyevsky DDS Inc, a Professional Dental Corporation

Doing business as Wigwam Dental Care

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1659594067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3344 Issued in NV
Legal business name
YELENA PIYEVSKY DDS INC, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Wigwam Dental Care
Practice address
2649 Wigwam Pkwy
Ste. 106
Henderson, NV 89074-7310
Phone
(702) 617-3333
Fax
(702) 617-0332
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ellen Piyevsky, D.D.S.
Title
President
Phone
(702) 617-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3344 NV Primary

Addresses

Primary practice location

2649 Wigwam Pkwy
Ste. 106
Henderson, NV 89074-7310

Mailing address

2649 Wigwam Pkwy
Ste. 106
Henderson, NV 89074-7310
Phone (702) 617-3333

Other names 1

  • Wigwam Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2649 Wigwam Pkwy
Ste 106
Henderson, NV 89074
Phone (702) 617-3333

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659594067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY",
            "address_2": "STE. 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "702-617-3333",
            "fax_number": "702-617-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY",
            "address_2": "STE. 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "702-617-3333",
            "fax_number": "702-617-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA PIYEVSKY DDS INC, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIYEVSKY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-617-3333",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wigwam Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • 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.