SUMMIT BOULEVARD DENTAL
NPI 1063900595
Dentist in Reno, NV

Q: What is Summit Boulevard Dental's NPI number?

The NPI number for Summit Boulevard Dental is 1063900595. It was assigned to this organization in the NPPES registry on April 30, 2018.

Q: What is Summit Boulevard Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 30, 2018

13985 S VIRGINIA ST STE 806, RENO, NV 89511(775) 846-4777(775) 525-5512 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Summit Boulevard Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT BOULEVARD DENTAL (NPI 1063900595) is a healthcare organization registered as a dentist in Reno, Nevada and active in the NPI registry since April 2018. The organization lists Timothy Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1063900595

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSUMMIT BOULEVARD DENTAL

Location Address13985 S VIRGINIA ST STE 806Reno, NV 89511-8934

Mailing Address13985 S Virginia St Ste 806Reno, NV 89511-8934 · (775) 846-4777 · Fax (775) 525-5512

Phone(775) 846-4777

Fax(775) 525-5512

Organization SubpartNo

Authorized OfficialTimothy AdamsOwner · (615) 601-4728

Enumeration DateApril 30, 2018

✔ NPI 1063900595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · S7-88C

Definition

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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License S7-881 (NV)

13985 S VIRGINIA ST STE 806, Reno, NV 89511

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Other Identifiers 1

Other1306026679Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONICA YEO KO DMD

Dentist (Endodontics)

13985 S VIRGINIA ST STE 806
RENO, NV 89511

Washoe County (775) 683-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Boulevard Dental's NPI number?

The NPI number for Summit Boulevard Dental is 1063900595. It was assigned to this organization in the NPPES registry on April 30, 2018.

Where is Summit Boulevard Dental located?

Summit Boulevard Dental is located at 13985 S Virginia St Ste 806, Reno, NV 89511. The listed phone number is (775) 846-4777.

What is Summit Boulevard Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Summit Boulevard Dental accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Summit Boulevard Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Boulevard Dental was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.