Individual provider Active NPI

Rand C. Waldron, DDS.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1992723100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DM2308 Issued in NV
Practice address
8940 W Tropicana Ave
Las Vegas, NV 89147-8136
Phone
(702) 365-6637
Fax
(702) 365-6132
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DM2308 NV Primary

Addresses

Primary practice location

8940 W Tropicana Ave
Las Vegas, NV 89147-8136

Mailing address

8940 W Tropicana Ave
Las Vegas, NV 89147-8136
Phone (702) 365-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DM2308NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992723100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 W TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478136",
            "telephone_number": "702-365-6637",
            "fax_number": "702-365-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 W TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478136",
            "telephone_number": "702-365-6637",
            "fax_number": "702-365-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "RAND",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "DM2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.