Active NPI
Jesse E Cardenas
- General Practice Dentistry
- Reno, NV
National Provider Identifier
1730426222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6355
- Practice address
- 1155 W 4TH St
#229
Reno, NV 89503-5172 - Phone
- (775) 322-0800
- Fax
- (775) 322-0900
- NPI assigned
- Jan 3, 2013
- 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 | 6355 | NV | Primary |
Addresses
Primary practice location
1155 W 4TH St
#229
Reno, NV 89503-5172
Mailing address
526 S Tonopah Dr
#200
Las Vegas, NV 89106-4043
Phone (702) 435-5015
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 |
|---|---|---|---|
| 6355 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Dental-Reno | General Practice | Past | 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.
-
- General Practice Dentistry
- Reno, NV
- NPI 1811086606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1730426222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 S TONOPAH DR",
"address_2": "#200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064043",
"telephone_number": "702-435-5015",
"fax_number": "702-366-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W 4TH ST",
"address_2": "#229",
"city": "RENO",
"state": "NV",
"postal_code": "895035172",
"telephone_number": "775-322-0800",
"fax_number": "775-322-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "JESSE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "6355",
"primary": true
}
],
"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 Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.