Active NPI
Denzil Nair
- Dentist
- Henderson, NV
National Provider Identifier
1730809872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8067
- Practice address
- 721 Rusty Spur Dr
Henderson, NV 89014-2576 - Phone
- (719) 493-8762
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN.00205247 | CO | |
| Dentist | 122300000X | 8067 | NV | Primary |
Addresses
Primary practice location
721 Rusty Spur Dr
Henderson, NV 89014-2576
Mailing address
5430 Tutt Blvd.
Colorado Springs, CO 80922
Phone (778) 990-6247
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 |
|---|---|---|---|
| 8067 | NV | MD | Dentist |
| DEN.00205247 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1730809872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 TUTT BLVD.",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80922",
"telephone_number": "778-990-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 RUSTY SPUR DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142576",
"telephone_number": "719-493-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "DENZIL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00205247",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "8067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.