Individual provider Active NPI

Tracy Marlene Ransdell, DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1871791640
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2890 Issued in NV
Practice address
3350 Novat St Ste 145
Las Vegas, NV 89129-8722
Phone
(702) 395-1088
NPI assigned
Jul 3, 2007
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7210 AZ
Dentist 122300000X 2890 NV Primary

Addresses

Primary practice location

3350 Novat St Ste 145
Las Vegas, NV 89129-8722

Mailing address

12282 Bluebird Canyon PL
Las Vegas, NV 89138-6055
Phone (702) 816-3312

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

LicenseStateTypeSpecialty
7210AZMDChiropractor
2890NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Dental Past Accepting new patients
Eastern Hills Dental LLC Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1871791640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12282 BLUEBIRD CANYON PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386055",
            "telephone_number": "702-816-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NOVAT ST STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298722",
            "telephone_number": "702-395-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSDELL",
        "first_name": "TRACY",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7210",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.