Organization Active NPI

Charles Cordova, DDS, P.C.

Doing business as Affordable Dentures & Implants - Reno

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1720998172
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLES CORDOVA, DDS, P.C.
Doing business as
Affordable Dentures & Implants - Reno
Practice address
4875 Kietzke LN Ste B
Reno, NV 89509-6534
Phone
(775) 826-4928
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Charles Cordova, DDS
Title
Owner
Phone
(775) 826-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4875 Kietzke LN Ste B
Reno, NV 89509-6534

Mailing address

4875 Kietzke LN Ste B
Reno, NV 89509-6534
Phone (775) 826-4928

Other names 1

  • Affordable Dentures & Implants - Reno Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1720998172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 KIETZKE LN STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096534",
            "telephone_number": "775-826-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 KIETZKE LN STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096534",
            "telephone_number": "775-826-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CORDOVA, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-826-4928",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.