DAVID RANDOLPH WASSERMAN (NPI# 1902971005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902971005 |
| Entity Type | Individual |
| Full Name | DAVID RANDOLPH WASSERMAN |
| Credential | DMD |
| Practice Address |
4055 So Spencer Street Suite 200 Las Vegas NV 89119-5251 |
| Practice Telephone | 7027342711 |
| Practice Fax Number | 7027349417 |
| Mailing Telephone | 7027342711 |
| Mailing Fax Number | 7027349417 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 693 | NV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1659470540 | David Allan Wasserman | Psychologist | 257 Connecticut St, San Francisco, CA 94107-2402 | 2006-09-21 |
| 1912999806 | David F Wasserman | Psychologist | 4882 Mcgrath St, Ste. 210, Ventura, CA 93003-7722 | 2005-08-17 |
| 1184988404 | David Jacob Wasserman | Internal Medicine | 1955 Memorial Dr, Danville, VA 24541-4712 | 2012-07-02 |
| 1972753200 | David Arthur Wasserman | Emergency Medicine | 555 North Ave, Suite 1-p, Fort Lee, NJ 07024-2404 | 2008-09-23 |
| 1518988179 | David Wasserman | Radiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-07-21 |
| 1598781288 | David P Wasserman | Family Medicine | 1927 Lohmans Crossing Rd, Suite 200, Austin, TX 78734-5243 | 2006-07-14 |
| Street Address |
4055 SO SPENCER STREET SUITE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5251 |
| 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 | 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 |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1083227458 | Khurram Fahim | Dentist | 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 | 2020-08-26 |
| 1104437532 | Sean Truong | Dentist | 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 | 2020-08-10 |
| 1518585785 | Jaclyn Richardson | Dentist | 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 | 2020-07-14 |
| 1588283592 | Hyungbin Lee | Dentist | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 | 2020-04-09 |
| 1205478732 | Gb Dental, LLC | Dentist | 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 | 2019-10-16 |
| 1851946313 | Dae D Hahm | Dentist | 10741 Dobbs Ave, Las Vegas, NV 89166-5112 | 2019-08-01 |
| 1891349239 | Greta De Fatima Barba | Dentist | 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 | 2019-07-24 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1386205045 | Alexis Grace Desilva | Dentist | 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 | 2019-06-24 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DAVID RANDOLPH WASSERMAN.
| 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.