NPIMap

Organization Active NPI

Reno Oral & Maxillofacial Surgery

Doing business as Rick J. Rawson, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Reno, NV
National Provider Identifier
1750637096
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S295C Issued in NV
Legal business name
RENO ORAL & MAXILLOFACIAL SURGERY
Doing business as
Rick J. Rawson, D.D.S., M.S.
Practice address
5420 Kietzke LN Ste 102
Reno, NV 89511-2063
Phone
(775) 853-9696
Fax
(775) 853-9695
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Rick J Rawson, D.D.S.,.M.S.NPI 1720193154
Title
Owner
Phone
(775) 853-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X S295C NV Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 6268 NV

Addresses

Primary practice location

5420 Kietzke LN Ste 102
Reno, NV 89511-2063

Mailing address

5420 Kietzke LN Ste 102
Reno, NV 89511-2063
Phone (775) 853-9696

Other names 1

  • Rick J. Rawson, D.D.S., M.S. Doing business as

National Provider Directory

National Provider Directory

Locations

5420 Kietzke Ln
Ste 102
Reno, NV 89511
Phone (775) 853-9696

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1750637096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-853-9696",
            "fax_number": "775-853-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-853-9696",
            "fax_number": "775-853-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "RAWSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-853-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,.M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S295C",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "6268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick J. Rawson, D.D.S., M.S.",
            "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 Jul 24, 2012; 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.