SPENCER J FADDIS (NPI# 1780050971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780050971 |
| Entity Type | Individual |
| Full Name | SPENCER J FADDIS |
| Credential | DDS |
| Practice Address |
10870 W Charleston Blvd 170 Las Vegas NV 89135-1158 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7022546412 |
| Practice Fax Number | 7022549558 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6658 | NV | Dental Providers |
| Street Address |
10870 W CHARLESTON BLVD 170 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750571535 | Shahrestani Canyon Pointe Dental Group PC | Dentist | 10870 W Charleston Blvd, Ste 170, Las Vegas, NV 89135-1158 | 2007-07-27 |
| 1407160351 | Nadia Roshan | Optometrist | 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 | 2010-08-03 |
| 1073824629 | Andrea Christine Radtke | Optometrist | 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1083227458 | Khurram Fahim | Dentist | 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 | 2020-08-26 |
| 1104437532 | Sean Truong | Dentist | 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 | 2020-08-10 |
| 1518585785 | Jaclyn Richardson | Dentist | 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 | 2020-07-14 |
| 1588283592 | Hyungbin Lee | Dentist | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 | 2020-04-09 |
| 1205478732 | Gb Dental, LLC | Dentist | 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 | 2019-10-16 |
| 1851946313 | Dae D Hahm | Dentist | 10741 Dobbs Ave, Las Vegas, NV 89166-5112 | 2019-08-01 |
| 1891349239 | Greta De Fatima Barba | Dentist | 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 | 2019-07-24 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1386205045 | Alexis Grace Desilva | Dentist | 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 | 2019-06-24 |
| Find all providers in LAS VEGAS | ||||
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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.