Active NPI
Cody Lee Besso, D.M.D.
- Dentist
- Sparks, NV
National Provider Identifier
1790188068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6570
- Practice address
- 735 Sparks Blvd
Sparks, NV 89434-7930 - Phone
- (775) 359-3934
- NPI assigned
- Oct 1, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6570 | NV | Primary |
Addresses
Primary practice location
735 Sparks Blvd
Sparks, NV 89434-7930
Mailing address
1500 W Huffaker LN
Reno, NV 89511-7558
Phone (775) 842-4071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2017 through Jun 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6570 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1790188068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W HUFFAKER LN",
"city": "RENO",
"state": "NV",
"postal_code": "895117558",
"telephone_number": "775-842-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 SPARKS BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894347930",
"telephone_number": "775-359-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSO",
"first_name": "CODY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.