Individual provider Active NPI

Robert M Svarney Jr., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
National Provider Identifier
1669444097
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S287C Issued in NV
Practice address
8084 West Sahara Ave
Suite F
Las Vegas, NV 89117
Phone
(702) 540-4256
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 55464 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S287C NV Primary

Addresses

Primary practice location

8084 West Sahara Ave
Suite F
Las Vegas, NV 89117

Mailing address

11830 Tevare LN Unit 2061
Suite 2061
Las Vegas, NV 89138-4598
Phone (702) 540-4256

Other practice location 1

3737 Moraga Ave Ste B200
San Diego, CA 92117-5350
Phone (858) 272-7086

Other identifiers 1

IdentifierTypeStateIssuer
1669444097MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 1, 2015 through Dec 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55464CAMDOral and Maxillofacial Surgery (Dentist)
S287CNVMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Svarney Jr, DDS, PLLC Past Accepting new patients
Siouxland Oral Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Holtzen & Johnson, LTD Past Accepting new patients
Omfs Surgery Center, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1669444097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 TEVARE LN UNIT 2061",
            "address_2": "SUITE 2061",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384598",
            "telephone_number": "702-540-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 WEST SAHARA AVE",
            "address_2": "SUITE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-540-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Moraga Ave Ste B200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921175350",
            "country_code": "US",
            "telephone_number": "858-272-7086",
            "fax_number": "858-272-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVARNEY",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55464",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S287C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669444097",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.