Individual provider Active NPI

Kent Bryan Horsley, DDS

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1720698269
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7429T Issued in NV
Practice address
475 Kirman Ave
Reno, NV 89502-1907
Phone
(775) 786-3400
NPI assigned
Aug 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7429T NV Primary
Dentist 122300000X 105069 CA

Addresses

Primary practice location

475 Kirman Ave
Reno, NV 89502-1907

Mailing address

1205 Monterey St
Redlands, CA 92373-6618

Other practice location 1

77-900 Fred Waring Dr.
Palm Desert, CA 92211
Phone (760) 360-7074

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

LicenseStateTypeSpecialty
105069CAMDMarriage & Family Therapist
7429TNVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ghazal Dental Corporation General Practice PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1720698269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MONTEREY ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KIRMAN AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021907",
            "telephone_number": "775-786-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77-900 Fred Waring Dr.",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "92211",
            "country_code": "US",
            "telephone_number": "760-360-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "KENT",
        "middle_name": "BRYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7429T",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.