DR. WAYNE ICHIKAWA D.D.S., M.S.
NPI 1477604627
Dentist - Oral and Maxillofacial Surgery in Las Vegas, NV

Q: What is Wayne Ichikawa's NPI number?

The NPI number for Wayne Ichikawa is 1477604627. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Wayne Ichikawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Ichikawa was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 15, 2007

1001 SHADOW LN # MS 7413, LAS VEGAS, NV 89106(702) 774-2457(702) 774-2610 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Wayne Ichikawa D.d.s., M.s. NPPES

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

DR. WAYNE ICHIKAWA D.D.S., M.S. (NPI 1477604627) is an individual oral and maxillofacial surgery provider in Las Vegas, Nevada, licensed in Nevada (S2-147C) and active in the NPI registry since January 2007. He maintains a secondary practice location in Campbell.

NPPES Registry Identity

NPI1477604627

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. WAYNE ICHIKAWACredential: D.D.S., M.S.

Location Address1001 SHADOW LN # MS 7413Las Vegas, NV 89106-4124

Mailing Address1001 Shadow Ln # Ms 7413Las Vegas, NV 89106-4124 · (702) 774-2457 · Fax (702) 774-2610

Phone(702) 774-2457

Fax(702) 774-2610

Sole ProprietorYes

Enumeration DateJanuary 15, 2007

Last NPPES UpdateMarch 8, 2019

✔ NPI 1477604627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in NV · S2-147C✔ Licensed in CA · 29954

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1001 SHADOW LN # MS 7413, Las Vegas, NV 89106

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Secondary Practice Location 1

Location 11580 Winchester Blvd, Suite 101Campbell, CA 95008-0519 · Phone (408) 379-5360 · Fax (408) 379-5340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Humana.Insurance ›

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 Wayne Ichikawa's NPI number?

The NPI number for Wayne Ichikawa is 1477604627. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Wayne Ichikawa located?

Wayne Ichikawa practices at 1001 Shadow Ln # Ms 7413, Las Vegas, NV 89106. The listed phone number is (702) 774-2457.

What is Wayne Ichikawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Wayne Ichikawa accept?

Health plans from Anthem Blue Cross and Blue Shield and Humana list Wayne Ichikawa 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 Wayne Ichikawa was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.