RYAN FONG
Student in an Organized Health Care Education/Training Program

Address: 1700 W. Charleston Blvd, M/S 7424, Las Vegas, NV 89102-2335

RYAN FONG (NPI# 1174118848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174118848
Entity Type Individual
Full Name DR. RYAN FONG
Gender Male
Credential DMD
Practice Address 1700 W. Charleston Blvd
M/S 7424
Las Vegas
NV 89102-2335
Practice Telephone 7027745175
Practice Fax Number 7027742812
Mailing Address 1700 W. Charleston Blvd
M/S 7424
Las Vegas
NV 89102-2335
Mailing Telephone 7027745175
Mailing Fax Number 7027742812
Certification Date 2021-03-04
Enumeration Date 2021-03-04
Last Update Date 2021-03-04
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1700 W. CHARLESTON BLVD
M/S 7424
City LAS VEGAS
State NV
Zip Code 89102-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194079848 Michael Edward Groch Dentist · Orthodontics and Dentofacial Orthopedics 1700 W. Charleston Blvd., Bldg. A Room 104, Las Vegs, NV 89106-4124 2012-11-02
1851699516 Board of Regents, Nevada System of Higher Education · Unlv Pediatric Community Outreach Dentist 1700 W. Charleston Blvd., Building A, Las Vegas, NV 89102-2351 2011-03-04
1821175894 Board of Regents, Nevada System of Higher Education · Unlv Advanced Pediatrics Department Dentist 1700 W. Charleston Blvd., Building A, Las Vegas, NV 89102-2351 2006-11-01
1427151240 Board of Regents, Nevada System of Higher Education · Unlv Faculty Dental Practice Clinic/Center · Dental 1700 W. Charleston Blvd., Building D, Las Vegas, NV 89102-2351 2006-09-07
1306873047 Michael Irwin Rips Dentist · General Practice 1700 W. Charleston Blvd., Las Vegas, NV 89108 2006-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568056216 Natalie Djansezian Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd # Ms 7424, Las Vegas, NV 89102-2335 2021-02-23
1154827152 Meghrik Assadourian Dentist · General Practice 1700 W Charleston Blvd # D, Las Vegas, NV 89102-2335 2018-03-30
1134672165 Jason Robert Klingler Dentist 1700 W Charleston Blvd Bldg D, Las Vegas, NV 89102-2335 2016-07-26
1053414862 Board of Regents, Nevada System of Higher Education · University of Nevada, Las Vegas School of Dental Medicine Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd Bldg A, Las Vegas, NV 89102-2335 2006-09-07
1417533027 Andrew Thomas Graves Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 2021-03-23
1487239901 Jacob Robert Ozuna Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 2021-03-16
1851976096 Zachary M Polonus Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd # Ms 7424, Las Vegas, NV 89102-2335 2021-03-09
1881288827 Jeremy James Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 2021-02-20
1538752233 Hunter Hinton Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 2021-02-15
1356933840 Conner Belnap Student in an Organized Health Care Education/Training Program 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 2021-02-06
Find all providers in zip 89102-2335

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1720663073 Nevada Community Health Center Internal Medicine 3000 W. Charleston Blvd., Suite 1, Las Vegas, NV 89102 2021-03-17
1801487616 Eneyda Rayos Bastidas Technician · Personal Care Attendant 2881 S Valley View Blvd Suite 6, Las Vegas, NV 89102 2021-02-03
1851998397 Natasha Moore Technician · Personal Care Attendant 3210 W Charleston Suite 2, Las Vegas, NV 89102 2020-10-07
1366059115 Brittany Craven Technician · Personal Care Attendant 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-09-25
1568077113 Zulma Yaneth Tervizo Lopez Technician · Personal Care Attendant 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 2020-09-10
1720608052 Angelica Gutierrez Technician · Personal Care Attendant Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician · Personal Care Attendant 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician · Personal Care Attendant 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician · Personal Care Attendant 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician · Personal Care Attendant 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
Find all providers in zip 89102

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093394173 Nathan Jon Lloyd 1701 W Charleston Blvd Ste 490, Las Vegas, NV 89102-2309 2021-04-06
1275111833 Abebe Habte Muraga 7538 Treasure Chest St, Las Vegas, NV 89139-5631 2021-04-01
1366020794 Tara Alexandra Blunt 1194 Claire Rose Ave, Las Vegas, NV 89183-7704 2021-03-29
1265010631 Sabrina Ioana Novenschi 1701 W Charleston Blvd # 509, Las Vegas, NV 89102-2325 2021-03-29
1639756448 Jace Melessa 3100 N. Tenaya Way Graduate Medical Education, Las Vegas, NV 89128-0431 2021-03-26
1427635366 Skylar Jimenez 6652 Lombard Dr, Las Vegas, NV 89108-2742 2021-03-26
1194302489 Sydney Phan 1701 W Charleston Blvd Ste 590, Las Vegas, NV 89102-2396 2021-03-24
1003492950 Gary Lee 9300 W Sunset Rd, Las Vegas, NV 89148-4844 2021-03-22
1568056216 Natalie Djansezian 1700 W Charleston Blvd # Ms 7424, Las Vegas, NV 89102-2335 2021-02-23
1346832110 Judith Cherotich Leitich 2954 Majestic Heights Ct, Las Vegas, NV 89117-2582 2021-02-03
Find all providers in LAS VEGAS

Competitor

Search similar providers

City LAS VEGAS
Zip Code 89102

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Dataset Information

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.

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