Jillian Noelle Storr, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8116 Issued in NV

Practice address

349 Summer Sparrow Ave
Henderson, NV 89011-4526

Phone

(702) 833-0281

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Alex Sharifian DDS Lindenwood Dentistry, PC

  • General Practice Dentistry
  • St. Charles, MO
  • NPI 1518412527
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1922394790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SUMMER SPARROW AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114526",
            "telephone_number": "702-833-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 SUMMER SPARROW AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114526",
            "telephone_number": "702-833-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORR",
        "first_name": "JILLIAN",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "8116",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012032807",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ella Stone, PA-C
• Nicholas Stone, DPT
• Jennifer Stoner
• Daniel Timothy Stopka, DPT
• Braxton Chad Storm, MSW, LSW
• Mary Jo Stortz, APRN
• Faith Stotts
• Benjamin Stover, DPT
• Stephanie Ann Stowman, PH.D.
• Michele Sherry Strahley

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, 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 Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.