NPIMap

Organization Active NPI

Warm Springs Dental LLC

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1669524500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10386 Issued in NV
Legal business name
WARM SPRINGS DENTAL LLC
Practice address
1525 W Warm Springs Rd
Suite #100
Henderson, NV 89014-4316
Phone
(702) 454-0818
Fax
(702) 454-3716
NPI assigned
Jan 18, 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
Dr. Robert Wilford Nisson, DDSNPI 1174798300
Title
Officer in Corporation
Phone
(702) 454-0818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10386 NV Primary

Addresses

Primary practice location

1525 W Warm Springs Rd
Suite #100
Henderson, NV 89014-4316

Mailing address

1525 W Warm Springs Rd
Suite #100
Henderson, NV 89014-4316
Phone (702) 454-0818

National Provider Directory

National Provider Directory

Locations

1525 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 454-0818

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669524500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W WARM SPRINGS RD",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144316",
            "telephone_number": "702-454-0818",
            "fax_number": "702-454-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W WARM SPRINGS RD",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144316",
            "telephone_number": "702-454-0818",
            "fax_number": "702-454-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARM SPRINGS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NISSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILFORD",
        "authorized_official_title_or_position": "OFFICER IN CORPORATION",
        "authorized_official_telephone_number": "702-454-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "10386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.