Crystal Viss, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-215 Issued in NV

Practice address

2380 Via Inspirada Ste 100B
Henderson, NV 89044-1853

Phone

(702) 703-8359

NPI assigned

May 30, 2019

Last updated

Oct 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1710545272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 VIA INSPIRADA STE 100B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 VIA INSPIRADA STE 100B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441853",
            "telephone_number": "702-703-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISS",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "n/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "2380 Via Inspirada Ste 100B",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890441853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virtualcare Medical Group of NV-Feng PC
• Vision Consultants
• Mutiyaa Vision
• Visionworks, Inc. (Visionworks)
• Visiting Medical Specialists of Nevada, Inc
• Felipe Jerusalem Vital Jr.
• Vitalcare Medical Supplies and Equipment, LLC
• Vitalhealthnp PLLC (Desert Wound Clinic)
• Vitalis Health and Wellness LLC
• Vitalis Medical Group, LLC

• Pediatric Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.