Individual provider Active NPI

Tamra L. Neugebauer, DDS

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1760563696
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5072 Issued in NV
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5072NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Dental Associates, LTD. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.