Active NPI
Megan Hickman
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1861090722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7412
- Practice address
- 366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287 - Phone
- (702) 464-3090
- Fax
- (702) 464-3158
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7412 | NV | Primary |
Addresses
Primary practice location
366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287
Mailing address
366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287
Phone (702) 464-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7412 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1861090722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 W LAKE MEAD PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157287",
"telephone_number": "702-464-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 W LAKE MEAD PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157287",
"telephone_number": "702-464-3090",
"fax_number": "702-464-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "MEGAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.