NPIMap

Organization Active NPI

Northern Nevada Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Reno, NV
National Provider Identifier
1871152884
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NORTHERN NEVADA ORAL AND MAXILLOFACIAL SURGERY
Practice address
5456 Reno Corporate Dr
Reno, NV 89511-2250
Phone
(775) 825-0285
NPI assigned
Jun 12, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Christopher GaleaNPI 1154640316
Title
Managing Member
Phone
(775) 825-0285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

5456 Reno Corporate Dr
Reno, NV 89511-2250

Mailing address

290 Brinkby Ave
Reno, NV 89509-4348

Other practice location 1

4840 Vista Blvd Ste 108
Sparks, NV 89436-2850
Phone (775) 236-2511

National Provider Directory

National Provider Directory

Locations

290 Brinkby Ave
Reno, NV 89509
Phone (702) 825-0285

5456 Reno Corporate Dr
Reno, NV 89511
Phone (775) 825-0285

4840 Vista Blvd
Sparks, NV 89436

4860 Vista Blvd
Sparks, NV 89436
Phone (775) 359-5432

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1871152884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BRINKBY AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-825-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 Vista Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894362850",
            "country_code": "US",
            "telephone_number": "775-236-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN NEVADA ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "GALEA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-825-0285"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.