Red Rock Dental Anesthesia, LLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

RED ROCK DENTAL ANESTHESIA, LLC

Practice address

3055 Saint Rose Pkwy Unit 777112
Henderson, NV 89077-8805

Phone

(702) 553-6762

Fax

(855) 655-4767

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Ashley Theodore Roberts, DMDNPI 1932488210

Title

Owner

Phone

(702) 553-6762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Theodore Roberts, DMD

  • Dental Anesthesiology
  • Henderson, NV
  • NPI 1932488210
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1821985383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SAINT ROSE PKWY UNIT 777112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778805",
            "telephone_number": "702-553-6762",
            "fax_number": "855-655-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SAINT ROSE PKWY UNIT 777112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778805",
            "telephone_number": "702-553-6762",
            "fax_number": "855-655-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK DENTAL ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-553-6762",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Recto, DMD
• John J Redano, RBT
• Rosella Marie Redd, LCSW
• Carol G Reddick, APRN, CNM
• Gautham Gummadi Reddy, M.D.
• Sandeep Kaur Reddy, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.