NORTHERN NEVADA DENTAL SPECIALTY GROUP (NPI# 1073995213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073995213 |
| Entity Type | Organization |
| Organization Name | NORTHERN NEVADA DENTAL SPECIALTY GROUP |
| Other Organization Name | MY KID'S SMILE |
| Practice Address |
3150 Vista Blvd Suite 110 Sparks NV 89436-6712 |
| Mailing Address |
10645 Double R Blvd Reno NV 89521-8920 |
| Practice Telephone | 7758526164 |
| Mailing Telephone | 7758526164 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MR. NICHOLAS CHANNING CHRISTIANSEN (MANAGER) |
| Authorized Official Telephone | 7758483005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
36-117 | NV | Dental Providers |
| Y | 122300000X | Dentist | 4489 | NV | Dental Providers |
| Other Name | Type Code |
|---|---|
| My Kid's Smile | Doing Business As Name - Organization |
| Street Address |
3150 VISTA BLVD SUITE 110 |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670779 | Kylie Kelly | Dental Assistant | 3150 Vista Blvd, Sparks, NV 89436-6712 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| 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 |
|---|---|---|---|---|
| 1457989105 | Johanna Narlis | Dentist | 913 Ridgebrook Rd Ste 206, Sparks, MD 21152-9467 | 2020-03-30 |
| 1023483534 | Cressman Dental Group, PC | Dentist | 2399 Wingfield Hills Rd, Ste 130, Sparks, NV 89436-7207 | 2015-12-09 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1063893659 | Austin Cope | Dentist | 4650 Wedekind Rd Ste 1, Sparks, NV 89431-7722 | 2015-06-09 |
| 1326463761 | Shahrestani Spanish Springs Modern Dentistry, PC | Dentist | 242 Los Altos Pkwy, Sparks, NV 89436-7708 | 2014-02-21 |
| 1316389919 | Michael Eldan Kanellis | Dentist | 2351 Pyramid Way Ste 22, Sparks, NV 89431-2163 | 2013-07-23 |
| 1750546578 | Rebecca Erine Rores | Dentist | 475 Sparks Blvd, Sparks, NV 89434-9002 | 2008-07-21 |
| 1366606774 | Julian Jon Trujillo | Dentist | 685 E Prater Way, Sparks, NV 89431-4681 | 2008-07-15 |
| 1881863116 | Eric C Dean Dds Ltd | Dentist | 925 Roberta Lane, Sparks, NV 89431 | 2008-02-20 |
| 1194909416 | Harry Calvin Fry | Dentist | 761 Greenbrae Dr, Sparks, NV 89431-3142 | 2007-12-21 |
| Find all providers in SPARKS | ||||
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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.