WAGGONER AND ASSOCIATES, PC (NPI# 1235588237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235588237 |
| Entity Type | Organization |
| Organization Name | WAGGONER AND ASSOCIATES, PC |
| Practice Address |
2381b Renaissance Dr Las Vegas NV 89119-6498 |
| Practice Telephone | 7027866684 |
| Mailing Telephone | 7027866684 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DR. WILLIAM FRANKLIN WAGGONER (OWNER) |
| Authorized Official Telephone | 7023396729 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
S6-17 | NV | Ambulatory Health Care Facilities |
| Street Address |
2381B RENAISSANCE DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740684430 | Waggoner & Associates PC | Dentist | 2381b Renaissance Dr, Las Vegas, NV 89119-6498 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1164050365 | Monica Ponce, Dds, A Professional Corporation | Clinic/Center | 9450 West Russell Road Suite 102, Las Vegas, NV 89148-8914 | 2020-04-01 |
| 1659903946 | Suzan Fu Dds Ltd A Nevada Corp | Clinic/Center | 1958 Village Center Cir Ste 4, Las Vegas, NV 89134-6240 | 2020-02-05 |
| 1477183101 | Ameritina Dental Eastern LLC | Clinic/Center | 581 N Eastern Ave, Las Vegas, NV 89101-3422 | 2020-01-22 |
| 1285285569 | Gurpreet Khairah Dds Pllc | Clinic/Center | 2900 E Desert Inn Rd Ste 109, Las Vegas, NV 89121-3619 | 2019-09-26 |
| 1770131534 | Robert C. Riegel, D.d.s Apc | Clinic/Center | 3663 E Sunset Rd Ste 507, Las Vegas, NV 89120-3299 | 2019-08-26 |
| 1376008193 | Life Dentistry - Dr Duff, Pllc | Clinic/Center | 10670 Dean Martin Dr., Suite 100, Las Vegas, NV 89141 | 2019-02-06 |
| 1467928952 | Ghazal Las Vegas Modern Smiles Dentistry, PC | Clinic/Center | 3119 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2018-10-23 |
| 1285123851 | Herrera Family Dental, Pllc | Clinic/Center | 1300 S Lamb Blvd Ste 400, Las Vegas, NV 89104-5540 | 2018-05-09 |
| 1770072274 | Sahara Dental Partners LLC | Clinic/Center | 4750 W Sahara Ave Ste 11, Las Vegas, NV 89102-3559 | 2018-05-09 |
| 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.