WESLEY ARCHER (NPI# 1457703290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457703290 |
| Entity Type | Individual |
| Full Name | WESLEY ARCHER |
| Credential | D.M.D. |
| Practice Address |
10400 S Eastern Ave Henderson NV 89052-3957 |
| Mailing Address |
12212 Capilla Real Ave Las Vegas NV 89138-4543 |
| Practice Telephone | 7025315437 |
| Mailing Telephone | 7025287015 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-166 | NV | Dental Providers |
| Street Address |
10400 S EASTERN AVE |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3957 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326537028 | Henderson Pediatric Dentistry PC | Dentist | 390 N Stephanie St Ste 104, Henderson, NV 89014-8029 | 2018-05-08 |
| 1962843961 | Manny Rapp | Dentist | 1701 N. Green Valley Pkwy #8e, Henderson, NV 89074 | 2013-07-08 |
| 1699074112 | Rhonda L Kearney, Dds, Ms, Pllc | Dentist | 451 Ruin Creek Rd., 205, Henderson, NC 27536-0000 | 2011-03-23 |
| 1740485846 | Rhonda Louise Kearney | Dentist | 451 Ruin Creek Rd Ste 205, Henderson, NC 27536-5920 | 2007-06-19 |
| 1871702076 | Mark Clayton Peterson | Dentist | 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 | 2007-05-22 |
| 1003939810 | Daniel William Sims Professional Corporation | Dentist | 375 N Stephanie St Bldg 6, Suite 611, Henderson, NV 89014-8771 | 2007-04-08 |
| 1841392172 | Chad W. Ellsworth | Dentist | 2843 St. Rose Pkwy, Suite 100, Henderson, NV 89052 | 2006-09-05 |
| 1740391465 | Laurence Jay Levine | Dentist | 2610 W Horizon Ridge Pkwy Ste 202, Henderson, NV 89052-2870 | 2006-08-31 |
| 1912924820 | Adaven Childrens Dentistry | Dentist | 1701 N Green Valley Parkway, #8e, Henderson, NV 89074 | 2006-07-16 |
| 1104879717 | Maryam Sina Dds Ltd | Dentist | 2551 N Green Valley Pkwy, Suite #400a, Henderson, NV 89014-0272 | 2006-05-18 |
| Find all providers in HENDERSON | ||||
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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.