Active NPI
Dennez Avendano, DMD
- General Practice Dentistry
- Sparks, NV
National Provider Identifier
1699415349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7877
- Practice address
- 850 Vista Blvd
#100
Sparks, NV 89436-4168 - Phone
- (775) 626-3535
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7877 | NV | Primary |
Addresses
Primary practice location
850 Vista Blvd
#100
Sparks, NV 89436-4168
Mailing address
850 Vista Blvd
#100
Sparks, NV 89436-4168
Phone (775) 626-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7877 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purerestore LLC | Past | Accepting new patients | |
| Marc a. Thomas, DDS, LTD | Past | Accepting new patients | |
| Reno Sparks Indian Colony | Past | Accepting new patients |
Interoperability endpoints
- dennez.avendano.p1@direct.rsthc.nextgenshare.com
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Sparks, NV
- NPI 1952589319
-
- Dental Clinic/Center
- Sparks, NV
- NPI 1891677704
-
- Clinic/Center
- Reno, NV
- NPI 1497700801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1699415349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 VISTA BLVD",
"address_2": "#100",
"city": "SPARKS",
"state": "NV",
"postal_code": "894364168",
"telephone_number": "775-626-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 VISTA BLVD",
"address_2": "#100",
"city": "SPARKS",
"state": "NV",
"postal_code": "894364168",
"telephone_number": "775-626-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENDANO",
"first_name": "DENNEZ",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2024-08-15",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.