Dental Anesthesia of Nevada, LLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

DENTAL ANESTHESIA OF NEVADA, LLC

Practice address

10645 Double R Blvd
Reno, NV 89521-8920

Phone

(775) 852-6164

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Steve Delong

Title

Ceo

Phone

(775) 336-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1821694308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218920",
            "telephone_number": "775-852-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ANESTHESIA OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-336-1510"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235487745",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mykidssmilereno.com",
            "affiliation": "N",
            "address_1": "10645 Double R Blvd",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895218920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martin E. Dennis, M.D.
• Rebecca Dennis
• Shelinda Dennis, APRN
• Jason Dent, PHARMD
• Mariah Ciara Dent
• Steven Dente, LMFT
• Dentist in Reno LLC
• Dentistry for Kids, LLC
• Denver Miller, M.D., LTD.
• Department of Veteran Affairs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.