MYKEL ANDERSON


Address: 256 E Lake Mead Pkwy, Henderson, NV 89015-6440
Phone: 7027035410

MYKEL ANDERSON (NPI# 1609481928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609481928
Entity Type Individual
Full Name MYKEL ANDERSON
Credential DMD, MPH, MBA
Practice Address 256 E Lake Mead Pkwy
Henderson
NV 89015-6440
Mailing Address 1350 Kelso Dunes Ave Apt 315
Henderson
NV 89014-7826
Practice Telephone 7027035410
Mailing Telephone 9513132129
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DDS104743 CA Dental Providers
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
6978 NV Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1485 Graeber St Bldg 2300, March Air Reserve Base, CA 925181717 9516556270

Office Location

Street Address 256 E LAKE MEAD PKWY
City HENDERSON
State NV
Zip Code 89015-6440

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225503238 Holly Abarca Home Health Aide 212 Shoshone Ln, Henderson, NV 89015 2018-10-05
1184111890 Pain Center of Henderson LLC Pain Medicine 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 2018-04-18
1124528963 Edson Jeam Arredondo Chore Provider 160 E Horison Dr Ste A, Henderson, NV 89015 2018-02-19
1558879569 Robin Harvey Rehabilitation Practitioner 203 S. Water St # 200, Henderson, NV 89015 2018-01-12
1477064368 Chris Mcdonald Counselor 220 E Horizon Drive, Suite H, Henderson, NV 89015 2017-10-18
1649792565 David Blake Case Manager/Care Coordinator 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 2017-07-12
1457726135 Ozioma Chiebuka Nwosu Nurse Practitioner 200 E Horizon Dr Ste A, Henderson, NV 89015 2015-12-07
1770962839 Myesha Nicole Butler Counselor 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 2015-05-22
1629469424 Felicia Suberville Behavioral Analyst 236 Red Horizon Terrace, Henderson, NV 89015 2015-02-16
1144618349 Dinesh Bharwani Physician Assistant 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 2014-12-23
Find all providers in zip 89015

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548639701 David Alan Chenin Dentist 10730 S Eastern Ave, Henderson, NV 89052-5216 2015-09-17
1023416120 Ji Hyun Ahn Dentist 4 Sunset Way Ste A6, Henderson, NV 89014-2016 2014-12-05
1003017278 Gary L Jennings Dentist 704 Barrett Blvd, Henderson, KY 42420-4931 2007-05-29
1225250798 Stephen Terry Chenin Dentist 10730 S. Eastern Ave., Ste 100, Henderson, NV 89052-5217 2007-05-03
1003032129 Tania Quinn Dentist 34 N Valle Verde Dr, Suite 120, Henderson, NV 89074 2007-04-17
1306961040 John Rick Neilson Dentist 1909 N Green Valley Pkwy Ste A, Henderson, NV 89074-8353 2007-03-20
1659406395 Kent L. Phillips, D.d.s., M.s., Ltb. Dentist 390 N Stephanie St, Suite 104, Henderson, NV 89014-8028 2007-02-22
1578627238 Bruce Stewart Harris Dentist 2563 Evening Sky Drive, Henderson, NV 89052 2006-12-20
1174613921 Leonardo Carlos Ferrer Bordador Dentist 2799 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052-5055 2006-10-13
1821196940 Carey Bruce Noorda Dentist 1701 N Green Valley Pkwy Ste 1, Henderson, NV 89074-5886 2006-09-20
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 89015

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Dataset Information

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.

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