RYAN FONG (NPI# 1174118848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Street Address | 1700 W. CHARLESTON BLVD M/S 7424 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2335 |
| 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 |
| 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 | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | LAS VEGAS |
| Zip Code | 89102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154621860 | Ryan J Fong | Physician Assistant | 54 Miller St Ste 201, Quincy, MA 02169-4725 | 2010-10-27 |
| 1376748681 | Fong-Fong Chen | Acupuncturist | 2707 E Valley Blvd, #206, West Covina, CA 91792-3140 | 2007-06-18 |
| 1609927102 | Juon-Kin K. Fong · Kenneth Fong | Orthopaedic Surgery | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2007-01-13 |
| 1528258027 | Francis Chikeung Fong · Chi-Keung Fong | Social Worker · Clinical | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2007-07-31 |
| 1598388423 | Michelle Wai-Fong Hui · Wai Fong Hui | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625 | 2020-05-27 |
| 1518963719 | Andrew Yuh-Fong Lin · Yuh Fong Lin | Internal Medicine | 23600 Telo Ave, Ste 280, Torrance, CA 90505-4037 | 2005-06-22 |
| 1336260801 | Nicky Andrew Fong · Nick Andrew Fong | Dentist | 831 Timber Creek Dr, Suite 1, Cordova, TN 38018-3108 | 2007-04-03 |
| 1659527620 | Tammy Fong Heilemann · Tammy Sum Fong | Social Worker · Clinical | 5901 E. 7th Street, Long Beach, CA 90822 | 2008-08-11 |
| 1619046869 | Winifred Fong Leung · Winifred Fong | Emergency Medicine | 3185 Route 27, Franklin Park, NJ 08823 | 2006-11-06 |
| 1629307665 | Minch K. Fong M.d. Inc. · Minch K. Fong M.d. | Internal Medicine · Hematology & Oncology | 26691 Plaza, Ste. 200, Mission Viejo, CA 92691-6329 | 2009-12-22 |
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| 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.