NPIMap

Organization Active NPI

Kid Dental, LLC

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1912206335
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4833 Issued in NV
Legal business name
KID DENTAL, LLC
Practice address
1101 W Moana LN
Suite #4
Reno, NV 89509-4775
Phone
(775) 412-1070
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Dr. Roy J Delappe, D.D.SNPI 1104927383
Title
Owner/Manager
Phone
(775) 412-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4833 NV Primary

Addresses

Primary practice location

1101 W Moana LN
Suite #4
Reno, NV 89509-4775

Mailing address

1101 W Moana LN
Suite #4
Reno, NV 89509-4775
Phone (775) 412-1070

National Provider Directory

National Provider Directory
Tax ID family
Kid Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 W Moana Ln
Ste 4
Reno, NV 89509
Phone (775) 825-5005

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1912206335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "address_2": "SUITE #4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-412-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "address_2": "SUITE #4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-412-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "DELAPPE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "775-412-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4833",
            "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 Mar 24, 2011; 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.