DR. LYLE SCOTT BROOKSBY (NPI# 1679588115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679588115 |
| Entity Type | Individual |
| Full Name | DR. LYLE SCOTT BROOKSBY |
| Credential | DDS |
| Practice Address |
8960 W Cheyenne Ave Unit 190 Las Vegas NV 89129-8929 |
| Practice Telephone | 7023674121 |
| Practice Fax Number | 7023674021 |
| Mailing Telephone | 7023674121 |
| Mailing Fax Number | 7023674021 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2543 | NV | Dental Providers |
| Street Address |
8960 W CHEYENNE AVE UNIT 190 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659866143 | Advanced Practice Nursing Specialists | Nurse Practitioner | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2018-06-27 |
| 1396137022 | Advanced Practice Nursing Specialists, LLC | Nurse Practitioner | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129 | 2015-03-04 |
| 1891978607 | David J Memmoli | Nurse Practitioner | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129 | 2007-12-14 |
| 1457496077 | The Dental Implant Source | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1417932831 | Gary A Braun | Dentist | 4700 Las Vegas Blvd North, Suite 2419, Las Vegas, NV 89191-6601 | 2005-12-08 |
| 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 |
| 1801911474 | Robert Howard Ahlstrom | Dentist | 3701 Baker Ln Ste 2, Reno, NV 89509-5441 | 2007-03-20 |
| 1508178633 | Craig Andresen | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2010-07-06 |
| 1386639607 | John A Thomas | Dentist | 4700 Las Vegas Blvd N, Suite 2419, Bldg 1300, Nellis Afb, NV 89191-6600 | 2005-09-13 |
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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.