Desiree Nicole Arellano, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

3701 Baker LN Ste 1
Reno, NV 89509-5430

Phone

(775) 825-1000

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Smile Shop

  • Dental Clinic/Center
  • Reno, NV
  • NPI 1790372472
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1801488036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BAKER LN STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095430",
            "telephone_number": "775-825-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BAKER LN STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095430",
            "telephone_number": "775-825-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@smileshoponline.com",
            "affiliation": "N",
            "address_1": "3701 Baker Ln Ste 1",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895095430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@smileshoponline.com",
            "affiliation": "N",
            "address_1": "3701 Baker Ln Ste 1",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895095430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard H Ardill, MD
• Sona Ardroumian
• Subramanyeswara Rao Arekapudi, M.D, M.P.H
• Jacqueline Arellano-Uvence
• Beatrice Arellano
• Elmer Arellano I
• Elvira Arellano
• Lydia Arellano
• Marie Ashley Arellano, RN
• Heather Areshenko, MS, CCC-SLP, CAS

• Dental Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Dental Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.