Active NPI
Tamra L. Neugebauer, DDS
- General Practice Dentistry
- Reno, NV
National Provider Identifier
1760563696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5072
- Practice address
- 6190 Mae Anne Ave
Reno, NV 89523-4730 - Phone
- (775) 284-4161
- Fax
- (775) 420-4368
- NPI assigned
- Oct 18, 2006
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 5072 | NV | Primary |
Addresses
Primary practice location
6190 Mae Anne Ave
Reno, NV 89523-4730
Mailing address
475 Kirman Ave
Reno, NV 89502-1907
Phone (775) 284-4161
Other practice location 1
9710 S McCarran Blvd
Reno, NV 89523-9203
Phone (775) 848-0426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 30, 2022 through Aug 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5072 | NV | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reno Dental Associates, LTD. | General Practice | Past | Accepting new patients |
Interoperability endpoints
- tamra.neugebauer@wbd-nv.direct.office.nextgen.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Reno, NV
- NPI 1528149465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1760563696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895021907",
"telephone_number": "775-284-4161",
"fax_number": "775-786-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 MAE ANNE AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895234730",
"telephone_number": "775-284-4161",
"fax_number": "775-420-4368"
}
],
"practiceLocations": [
{
"address_1": "9710 S McCarran Blvd",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895239203",
"country_code": "US",
"telephone_number": "775-848-0426",
"fax_number": "775-624-6099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUGEBAUER",
"first_name": "TAMRA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
- Rhodora Neu, NURSE PRACTITIONER
- Carly Neubert, NC
- Mindi Neugebauer Rosander, LCSW
- Brady J. Neugebauer, DDS
- Monte J. Neugebauer, DDS
- Brittany Neurenberg, BA, CADC
- Neurodevelopmental & Neurodiagnostic Center
- Neurofit Wellness & Physical Therapy, LLC (Karla F. Moore)
- Neurotherapy Clinic
- Nevada Advanced Pain Surgical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.