MYKEL ANDERSON (NPI# 1609481928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609481928 |
Entity Type | Individual |
Full Name | MYKEL ANDERSON |
Credential | DMD, MPH, MBA |
Practice Address |
256 E Lake Mead Pkwy Henderson NV 89015-6440 |
Mailing Address |
1350 Kelso Dunes Ave Apt 315 Henderson NV 89014-7826 |
Practice Telephone | 7027035410 |
Mailing Telephone | 9513132129 |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DDS104743 | CA | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6978 | NV | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1485 Graeber St Bldg 2300, March Air Reserve Base, CA 925181717 | 9516556270 |
Street Address |
256 E LAKE MEAD PKWY |
City | HENDERSON |
State | NV |
Zip Code | 89015-6440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
Find all providers in zip 89015 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548639701 | David Alan Chenin | Dentist | 10730 S Eastern Ave, Henderson, NV 89052-5216 | 2015-09-17 |
1023416120 | Ji Hyun Ahn | Dentist | 4 Sunset Way Ste A6, Henderson, NV 89014-2016 | 2014-12-05 |
1003017278 | Gary L Jennings | Dentist | 704 Barrett Blvd, Henderson, KY 42420-4931 | 2007-05-29 |
1225250798 | Stephen Terry Chenin | Dentist | 10730 S. Eastern Ave., Ste 100, Henderson, NV 89052-5217 | 2007-05-03 |
1003032129 | Tania Quinn | Dentist | 34 N Valle Verde Dr, Suite 120, Henderson, NV 89074 | 2007-04-17 |
1306961040 | John Rick Neilson | Dentist | 1909 N Green Valley Pkwy Ste A, Henderson, NV 89074-8353 | 2007-03-20 |
1659406395 | Kent L. Phillips, D.d.s., M.s., Ltb. | Dentist | 390 N Stephanie St, Suite 104, Henderson, NV 89014-8028 | 2007-02-22 |
1578627238 | Bruce Stewart Harris | Dentist | 2563 Evening Sky Drive, Henderson, NV 89052 | 2006-12-20 |
1174613921 | Leonardo Carlos Ferrer Bordador | Dentist | 2799 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052-5055 | 2006-10-13 |
1821196940 | Carey Bruce Noorda | Dentist | 1701 N Green Valley Pkwy Ste 1, Henderson, NV 89074-5886 | 2006-09-20 |
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.