CRAIG ANDRESEN (NPI# 1508178633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508178633 |
| Entity Type | Individual |
| Full Name | CRAIG ANDRESEN |
| Credential | DDS |
| Practice Address |
1601 Lakeside Dr Reno NV 89509-3464 |
| Practice Telephone | 7753233574 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
S5-39C | NV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840767 | Craig A. Andresen | Chiropractor | 2410 Alft Ln Ste 100, Elgin, IL 60124-7843 | 2006-08-21 |
| Street Address |
1601 LAKESIDE DR |
| City | RENO |
| State | NV |
| Zip Code | 89509-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649378324 | Dr. Rafael Gamboa | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3408 | 2006-09-20 |
| 1982975934 | Gregory V. Powning | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2012-01-23 |
| 1174800940 | Louis Joseph Patetta Jr. | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2011-11-08 |
| 1396025540 | Daniel Lawrence Barrett | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2011-08-19 |
| 1205120524 | John Chadwick Shepphird | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2011-06-03 |
| 1871805135 | Allison Yuriko Andresen | Student in an Organized Health Care Education/Training Program | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2010-07-02 |
| 1194819177 | Dr. Louis Patetta Dds | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3408 | 2006-10-03 |
| 1821181363 | Dr. Greg V Powning | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3408 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911474 | Robert Howard Ahlstrom | Dentist | 3701 Baker Ln Ste 2, Reno, NV 89509-5441 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932645827 | Tiffany Kafei Lee | Dentist | 2345 E Centennial Pkwy Ste 110, North Las Vegas, NV 89081-5605 | 2017-01-16 |
| 1619345840 | Joshua Renk | Dentist | 851 S Rampart Blvd Ste 250, Las Vegas, NV 89145-4888 | 2015-09-03 |
| 1306943469 | Brock Alan Satoris | Dentist | 4492 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-09-20 |
| 1679588115 | Lyle Scott Brooksby | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2006-07-31 |
| 1730181850 | Nelson D Lasiter | Dentist | 2255 Renaissance Dr, Ste B, Las Vegas, NV 89119-6167 | 2005-06-01 |
| 1457726960 | Greater Las Vegas | Dentist | 8867 W Flamingo Rd, Suite 100, Las Vegas, NV 89147-8758 | 2015-12-09 |
| 1881967628 | Johnson Implant Dentisrty Associates | Dentist | 6460 Medical Center St, Suite 300, Las Vegas, NV 89148-2406 | 2012-02-09 |
| 1891944781 | Marco Tulio Padilla | Dentist | 1811 South Rainbow Blvd, Suite 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
| 1457496077 | The Dental Implant Source | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2007-02-21 |
| 1235249822 | Kiki S Dounis | Dentist | 901 Rancho Ln, 270, Las Vegas, NV 89106-3836 | 2006-08-30 |
| 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.