Individual provider Active NPI

Joshua Michael Ignatowicz, DMD

  • Dentist
  • Henderson, NV
National Provider Identifier
1902005002
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5539 Issued in NV
Practice address
1070 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89012-6019
Phone
(702) 432-9100
Fax
(702) 558-9159
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5539 NV Primary

Addresses

Primary practice location

1070 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89012-6019

Mailing address

1070 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89012-6019
Phone (702) 432-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504000090 NV Practitioner - DentistPractitioner - Oral Surgery 7517398738 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5539NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua M. Ignatowicz DMD PC CurrentSince Mar 1, 2020 Accepting new patients
Benjamin Glick DMD PC Past Accepting new patients
Horizon Ridge Dental LLC Past Accepting new patients

Locations

1070 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89012
Phone (702) 432-9100

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1902005002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 121",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126019",
            "telephone_number": "702-432-9100",
            "fax_number": "702-558-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY",
            "address_2": "STE 121",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126019",
            "telephone_number": "702-432-9100",
            "fax_number": "702-558-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATOWICZ",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.