HIGH DESERT ENDODONTIC SPECIALISTS (NPI# 1073151411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073151411 |
| Entity Type | Organization |
| Organization Name | HIGH DESERT ENDODONTIC SPECIALISTS |
| Practice Address |
4104 Caughlin Square 2 Reno NV 89519 |
| Practice Telephone | 7758266111 |
| Mailing Telephone | 7758266111 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | MS. PATTY UNKNNOW (OFFICE MANAGER) |
| Authorized Official Telephone | 7758266111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
4104 CAUGHLIN SQUARE 2 |
| City | RENO |
| State | NV |
| Zip Code | 89519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
| 1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
| 1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| 1255524146 | Robert Andrew Eslinger | Homeopath | 6110 Plumas St, Ste B, Reno, NV 89519 | 2007-08-23 |
| Find all providers in zip 89519 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900595 | Summit Boulevard Dental | Dentist | 13985 S Virginia St Ste 806, Reno, NV 89511-8934 | 2018-04-30 |
| 1134560519 | John Eric Cercek | Dentist | 780 Rosewood Dr, Reno, NV 89509-3636 | 2013-07-12 |
| 1952520884 | D. Reeves & R. Iwasiuk, D.d.s., Ltd | Dentist | 5420 Kietzke Lane, Suite 100, Reno, NV 89511 | 2007-04-25 |
| 1225119357 | Jeffrey Brent Luckey | Dentist | 9456 Double R Blvd, Suite A, Reno, NV 89521-5977 | 2006-10-17 |
| 1356371793 | Rodney Allen Gray | Dentist | 4101 Caughlin Sq, Suite 2, Reno, NV 89519 | 2006-07-03 |
| 1457344889 | Scott Thomas Weed | Dentist | 6151 Lakeside Dr Ste 2200, Reno, NV 89511-8543 | 2005-08-31 |
| 1871021113 | John Barrett | Dentist | 280 Vista Knoll Pkwy, Reno, NV 89506-5647 | 2017-05-31 |
| 1982846838 | Randall John Iwasiuk | Dentist | 5420 Kietzke Ln, Suite 100, Reno, NV 89511-3022 | 2009-03-24 |
| 1982846846 | David M Reeves | Dentist | 5420 Kietzke Ln, Suite 100, Reno, NV 89511-3022 | 2009-03-24 |
| 1356564090 | Greg A Brouner | Dentist | 1101 West Moana Lane, Suite 4, Reno, NV 89509-4795 | 2007-04-11 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.