DR. TIMOTHY P REARDON (NPI# 1972917698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972917698 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY P REARDON |
| Credential | D.D.S., M.S. |
| Practice Address |
8490 S Eastern Ave Suite A Las Vegas NV 89123-2805 |
| Practice Telephone | 7022608241 |
| Practice Fax Number | 7022608251 |
| Mailing Telephone | 7022608241 |
| Mailing Fax Number | 7022608251 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
NV19991455879 | NV | Dental Providers |
| Street Address |
8490 S EASTERN AVE SUITE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700194289 | Sonya Renee Ruiz | Dentist | 8490 S Eastern Ave, Las Vegas, NV 89123-2805 | 2010-09-19 |
| 1487926010 | Desert Neurology Associates, LLC | Psychiatry & Neurology | 8490 S Eastern Ave, Suite B-1, Las Vegas, NV 89123-2805 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908958 | Shannon Candid Nevada, Pllc | Dentist | 3651 Lindell Rd Ste D1110, Las Vegas, NV 89103-1254 | 2020-09-23 |
| 1205460334 | Celebraces Decatur Loveland Pllc | Dentist | 4880 W Flamingo Rd, Las Vegas, NV 89103-3704 | 2020-02-27 |
| 1083278659 | Celebraces Francisco Loveland, Pllc | Dentist | 2466 E Desert Inn Rd Ste F, Las Vegas, NV 89121-3622 | 2019-04-29 |
| 1407312754 | Southern Nevada Orthodontics, LLC | Dentist | 6870 S Rainbow Blvd Ste 112, Las Vegas, NV 89118-2108 | 2019-02-12 |
| 1275041915 | Fenn Holden Welch | Dentist | 8551 W Lake Mead Blvd Ste 261, Las Vegas, NV 89128-7642 | 2018-01-16 |
| 1720592140 | Leaver and Gardner Orthodontics LLC | Dentist | 5765 Centennial Center Blvd Ste 110, Las Vegas, NV 89149-7125 | 2017-11-21 |
| 1265945638 | Tomlin Dental Group, PC | Dentist | 6970 South Cimarron Road Suite 100, Las Vegas, NV 89113 | 2017-11-08 |
| 1447779640 | David Chenin, Pllc | Dentist | 4306 S Eastern Ave, Las Vegas, NV 89119-6016 | 2017-09-19 |
| 1326564725 | Sunrise Orthodontics LLC | Dentist | 3196 S Maryland Pkwy Ste 307, Las Vegas, NV 89109-2314 | 2017-08-17 |
| 1902327448 | Melissa Marie Ven Dange | Dentist | 1001 Shadow Ln., Las Vegas, NV 89106-7410 | 2017-07-06 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY P REARDON.
| 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.