NPIMap

Organization Active NPI

Innovative Dental Solutions, LLC

Doing business as Zephr Cove Dental Center

  • Dental Clinic/Center
  • Zephyr Cove, NV
National Provider Identifier
1699367110
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INNOVATIVE DENTAL SOLUTIONS, LLC
Doing business as
Zephr Cove Dental Center
Practice address
120 McFaul Way
Zephyr Cove, NV 89448-9807
Phone
(775) 588-5183
Fax
(775) 364-1744
NPI assigned
Feb 5, 2021
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Robert Francis Desipio Jr., DMDNPI 1346329364
Title
Owner
Phone
(775) 588-5183

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

120 McFaul Way
Zephyr Cove, NV 89448-9807

Mailing address

PO Box 10408
Zephyr Cove, NV 89448-2408
Phone (775) 588-5183

Other names 1

  • Zephr Cove Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Locally

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1699367110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10408",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894482408",
            "telephone_number": "775-588-5183",
            "fax_number": "775-364-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MCFAUL WAY",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894489807",
            "telephone_number": "775-588-5183",
            "fax_number": "775-364-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DENTAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "DESIPIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-588-5183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Locally",
            "affiliation": "N",
            "address_1": "120 McFaul Way",
            "city": "Zephyr Cove",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894489807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Zephr Cove Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zephyr Cove, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.