CHRISTOPHER BRETT OWATZ (NPI# 1063605806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063605806 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER BRETT OWATZ |
| Credential | DMD |
| Practice Address |
1700 W Charleston Blvd Las Vegas NV 89106 |
| Mailing Address |
1001 Shadow Lane A-103 Las Vegas NV 89106 |
| Practice Telephone | 7027742816 |
| Practice Fax Number | 7027742811 |
| Mailing Telephone | 7017742816 |
| Mailing Fax Number | 7027742811 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
22219 | TX | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5754 | NV | Dental Providers |
| Street Address |
1700 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952475568 | Tanya Al Talib | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89106 | 2006-11-17 |
| 1306460670 | Hahnnah Park | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-06-03 |
| 1033731476 | Ching Shen | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-05-07 |
| 1861012429 | Daniel Hou | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-04-23 |
| 1063032050 | Kieran Caberto | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-04-20 |
| 1164058194 | Qin Xia | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-21 |
| 1013542745 | Eunice Lee | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-03 |
| 1043845753 | Vernon Zander | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-03 |
| 1255965109 | Joseph Jenkins | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-01 |
| 1356975296 | Kyle Grant | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306186069 | Thomas S. Kintonis | Dentist | 2461 Professional Crt., Las Vegas, NV 89128 | 2013-02-18 |
| 1922371699 | Lvos, LLC | Dentist | 8551 W Lake Mead Blvd Ste 260, Las Vegas, NV 89128-7642 | 2012-02-10 |
| 1023251170 | Adam Joseph Gatan | Dentist | 9550 S. Eastern Ave, #248, Las Vegas, NV 89123 | 2009-04-18 |
| 1447409339 | Carmen Aracely Fernandez | Dentist | 1811 South Rainbow Blvd, Ste. 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
| 1013171701 | Brad Radlosky | Dentist | 10463 Foggy Glen Ave, Las Vegas, NV 89135-1141 | 2008-07-11 |
| 1447429808 | Allen Huang D.m.d., M.s. | Dentist | 2430 E Harmon Ave Ste 6, Las Vegas, NV 89121-5338 | 2008-02-29 |
| 1376712240 | Wei-tze Chen, P.C. | Dentist | 6018 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5611 | 2008-02-26 |
| 1497935563 | Red Rock Endodontics, LLC | Dentist | 9690 W Tropicana Ave Ste 109, Las Vegas, NV 89147-2601 | 2007-11-06 |
| 1225222417 | Pedro Ruiz | Dentist | 8785 W Warm Springs Rd, Suite 108, Las Vegas, NV 89148-1823 | 2007-08-30 |
| 1841482494 | Nishan M. Odabashian | Dentist | 3975 S Durango Dr, Suite 107, Las Vegas, NV 89147-4156 | 2007-08-16 |
| 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.