Organization Active NPI

W B Hackstaff, DDS, LTD.

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1932251964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
540 Issued in NV
Legal business name
W B HACKSTAFF, DDS, LTD.
Practice address
3575 Grant Dr Ste 2
Reno, NV 89509-5311
Phone
(775) 825-4748
Fax
(775) 825-2160
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Whitney Baker Hackstaff, D.D.S.
Title
President
Phone
(775) 825-4748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 540 NV Primary

Addresses

Primary practice location

3575 Grant Dr Ste 2
Reno, NV 89509-5311

Mailing address

3575 Grant Dr. Suite 2
Reno, NV 89509-5311
Phone (775) 825-4748

National Provider Directory

National Provider Directory

Locations

3575 Grant Dr
Ste 2
Reno, NV 89509
Phone (775) 825-4748

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932251964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 GRANT DR. SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095311",
            "telephone_number": "775-825-4748",
            "fax_number": "775-825-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 GRANT DR STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095311",
            "telephone_number": "775-825-4748",
            "fax_number": "775-825-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W B HACKSTAFF, DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKSTAFF",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-825-4748",
        "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": "540",
            "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 Aug 22, 2020; 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.