KOSTIKA POLENA (NPI# 1669821831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669821831 |
| Entity Type | Individual |
| Full Name | KOSTIKA POLENA |
| Credential | D.M.D. |
| Practice Address |
8430 Farm Rd Ste. 120 Las Vegas NV 89131-8166 |
| Mailing Address |
526 S Tonopah Dr Ste. 200 Las Vegas NV 89106-4043 |
| Practice Telephone | 7027321010 |
| Practice Fax Number | 7026586832 |
| Mailing Telephone | 7022912031 |
| Mailing Fax Number | 7023661483 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6770 | NV | Dental Providers |
| Street Address |
8430 FARM RD STE. 120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-8166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574515 | Starbrite Dental, LLC | Dentist | 8430 Farm Rd, Suite 120, Las Vegas, NV 89131-8166 | 2006-07-22 |
| 1346406808 | Sarika Patel | Dentist | 8430 Farm Rd, #120, Las Vegas, NV 89131-8166 | 2008-08-04 |
| 1215193313 | Artistic Orthodontics, Inc | Dentist | 8430 Farm Rd, #120, Las Vegas, NV 89131-8166 | 2008-07-29 |
| 1134391683 | Absolute Dental Farm Road LLC | Dentist | 8430 Farm Rd, 120, Las Vegas, NV 89131-8166 | 2008-03-25 |
| 1467647842 | Kristen Michelle Kudrewicz | Dentist | 8430 Farm Rd, Ste. 120, Las Vegas, NV 89131-8166 | 2007-09-10 |
| 1033261185 | John Hang | Dentist | 8430 Farm Rd, Ste. 120, Las Vegas, NV 89131-8166 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| 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.