ED DEANDRADE DDS, LTD. (NPI# 1144331588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144331588 |
| Entity Type | Organization |
| Organization Name | ED DEANDRADE DDS, LTD. |
| Other Organization Name | ANTHEM PERIODONTICS |
| Practice Address |
2610 W Horizon Ridge Pkwy Suite #202 Henderson NV 89052-2869 |
| Practice Telephone | 7022704600 |
| Practice Fax Number | 7022707773 |
| Mailing Telephone | 7022704600 |
| Mailing Fax Number | 7022707773 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ED DE ANDRADE (PRESIDENT) |
| Authorized Official Telephone | 7022704600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3586 | NV | Dental Providers |
| Other Name | Type Code |
|---|---|
| Anthem Periodontics | Doing Business As Name - Organization |
| Street Address |
2610 W HORIZON RIDGE PKWY SUITE #202 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734879 | Brian Christopher Gamett | Chiropractor | 2610 W Horizon Ridge Pkwy, Ste 104, Henderson, NV 89052-2869 | 2005-07-18 |
| 1366974446 | Christina Daugherty | Nurse Practitioner | 2610 W Horizon Ridge Pkwy, #200, Henderson, NV 89052-2869 | 2017-03-29 |
| 1861942625 | Anthem Periodontics and Dental Implants | Dentist | 2610 W Horizon Ridge Pkwy, #202, Henderson, NV 89052-2869 | 2016-10-05 |
| 1861860082 | Dhaval Shah Md PC | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 103, Henderson, NV 89052-2869 | 2015-09-03 |
| 1417353301 | Milanz Hospitalist Services Inc | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-2869 | 2014-11-05 |
| 1457774986 | Amde Pllc | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-2869 | 2014-02-04 |
| 1659700466 | Biljana Janic Md Inc | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-2869 | 2013-11-02 |
| 1306275227 | Robert B. Mcbeath, Md IIi PC | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 105, Henderson, NV 89052-2869 | 2013-11-02 |
| 1992130090 | Las Vegas Kidney & Hypertension Specialists LLC | Internal Medicine | 2610 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-2869 | 2013-09-08 |
| 1285918060 | Rajeswari Krishnaswamy | Nurse Practitioner | 2610 W Horizon Ridge Pkwy, Suite #200, Henderson, NV 89052-2869 | 2011-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302353 | Jessica Ann Silva | Dentist | 710 Coronado Center Dr, Suite 100, Henderson, NV 89052-4289 | 2013-09-12 |
| 1043510399 | Aaron G Radmall | Dentist | 366 W Lake Mead Pkwy #100, Henderson, NV 89015 | 2010-11-02 |
| 1710406186 | Munehiko Ro | Dentist | 2610 W Horizon Ridge Pkwy Ste 202, Henderson, NV 89052-2870 | 2017-09-16 |
| 1861942625 | Anthem Periodontics and Dental Implants | Dentist | 2610 W Horizon Ridge Pkwy, #202, Henderson, NV 89052-2869 | 2016-10-05 |
| 1164719290 | Jessica Allen | Dentist | 2610 W Horizon Ridge Pkwy, Suite 202, Henderson, NV 89052-2869 | 2011-07-10 |
| 1871615047 | Brandon H Joe | Dentist | 70 N Pecos Rd, Suite B, Henderson, NV 89074-7341 | 2007-04-06 |
| 1114036969 | Edilberto De Andrade | Dentist | 2610 W Horizon Ridge Pkwy, Suite 202, Henderson, NV 89052-2869 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710259254 | James Rogers | Dentist | 3575 S Town Center Dr, Suite 110, Las Vegas, NV 89135-3045 | 2012-01-30 |
| 1760774558 | Benjamin Ellsworth | Dentist | 505 Bachelor Button St, Las Vegas, NV 89138-6077 | 2011-05-11 |
| 1518285808 | Curry H. Leavitt | Dentist | 7475 W Sahara Ave, 101, Las Vegas, NV 89117-2867 | 2010-05-11 |
| 1588861348 | Eric Bernzweig | Dentist | 6835 W Charleston Blvd, Las Vegas, NV 89117 | 2007-06-27 |
| 1568674109 | John Frank Cercek Jr. | Dentist | 805 West 7th Street, #202, Reno, NV 89503-2795 | 2007-05-04 |
| 1285855809 | Jody Scott Harrison | Dentist | 4700 Las Vegas Blvd, Nellis Afb, NV 89191-6601 | 2007-05-01 |
| 1790808004 | John Richard Kaminski | Dentist | 1155 W 4th St Ste 218, Reno, NV 89503-5149 | 2007-04-10 |
| 1861515819 | Michael Almaraz, D.d.s.,ltd | Dentist | 1675 Vista Ln, Carson City, NV 89703-4640 | 2007-04-06 |
| 1235269838 | Richard Alan Mecall | Dentist | 2327 Green Mountain Ct, Las Vegas, NV 89135-1536 | 2007-03-06 |
| 1497883656 | James K. Rogers, D.d.s., M.s., L.t.d. | Dentist | 3575 S. Town Center Dr., Suite 110, Las Vegas, NV 89135 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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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.