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FORT MCDERMITT WELLNESS CENTER
NPI 1124567995
Dentist in Mcdermitt, NV

Active since February 14, 2017CLIA 29D2034384 · Waiver
112 NO RESERVATION ROAD, MCDERMITT, NV 89421(775) 532-8522(775) 532-8024 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Mcdermitt Wellness Center NPPES

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

FORT MCDERMITT WELLNESS CENTER (NPI 1124567995) is a healthcare organization registered as a dentist in Mcdermitt, Nevada and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Valerie Barr, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124567995
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFORT MCDERMITT TRIBE
Location Address112 NO RESERVATION ROADMcdermitt, NV 89421-0315
Mailing Address112 No Reservation RoadMcdermitt, NV 89421-0315 · (775) 532-8522 · Fax (775) 532-8024
Phone(775) 532-8522
Fax(775) 532-8024
Organization SubpartNo
Authorized OfficialValerie BarrCfo · (775) 532-8259
Enumeration DateFebruary 14, 2017
✔ NPI 1124567995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
112 NO RESERVATION ROAD, Mcdermitt, NV 89421
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Other Names 1

Doing Business AsFort Mcdermitt Wellness Center

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2034384

Fort Mcdermitt Wellness Center · Mcdermitt, NV
Active · expires Dec 21, 2027
CLIA Number29D2034384
Laboratory TypeTribal Health Clinic
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorBettina Giselle Alvarez
Laboratory Phone(775) 532-8522
Laboratory LocationFort Mcdermitt Wellness Center112 N Reservation Rd, Mcdermitt, NV 89421
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FORT MCDERMITT TRIBE
Counselor (Mental Health)
112 NO RESERVATION ROAD
MCDERMITT, NV 89421
Humboldt County (775) 532-8522

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 Fort Mcdermitt Tribe's NPI number?

The NPI number for Fort Mcdermitt Tribe is 1124567995. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is doing business as Fort Mcdermitt Wellness Center.

Where is Fort Mcdermitt Tribe located?

Fort Mcdermitt Tribe is located at 112 No Reservation Road, Mcdermitt, NV 89421. The listed phone number is (775) 532-8522.

What is Fort Mcdermitt Tribe's specialty?

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

Does Fort Mcdermitt Tribe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2034384) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Mcdermitt Tribe was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.