Desert Valley Dental of Sparks Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DESERT VALLEY DENTAL OF SPARKS INC.

Practice address

630 Pyramid Way
Sparks, NV 89431-5059

Phone

(775) 825-1055

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Robyn Goodman, DDSNPI 1598797540

Title

Owner

Phone

(775) 825-1055

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.

• Robyn M. Goodman, DDS

  • Dentist
  • Reno, NV
  • NPI 1598797540
  NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1902443732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095399",
            "telephone_number": "775-825-1055",
            "fax_number": "775-825-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PYRAMID WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315059",
            "telephone_number": "775-825-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY DENTAL OF SPARKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-825-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nichole Dennis, O.D.
• Grant Logan Denny, MSOT, OTR/L
• Jamie Denucci
• Tony J. Depaoli, D.D.S.
• Desert Orchid Health
• Colton Destrempes
• Kristal Deville
• Kyle Devine, MSW
• Lisa Ann Devonick, PHARMD
• Douglas K Devries, O.D.

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.