Active NPI 1639133978 Individual Practitioner Male Practitioner

Dr. Vincent Colosimo , DMD

Dentist - General Practice • Henderson, NV

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Colosimo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Henderson, NV. Practice services are available at 2811 N GREEN VALLEY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2811 N Green Valley Pkwy

Henderson, NV 890140401

Telephone 7024342219

Fax 7024566160

Associated Practice Facility / Clinic

🏢 Weiss Dental & Orthodontics Professional Corporation Facility NPI 1265495964

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Henderson, NV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 2.0 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

149 Specialists

Practicing in Henderson, NV (1127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 4547T

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001264970 (PA)

Commercial Insurance / Payer ID Tropical Pkwy Office Medicaid#

100511623 (NV)

Commercial Insurance / Payer ID Nellis Blvd Office Medicaid#

100511625 (NV)

Commercial Insurance / Payer ID Smoke Ranch Rd Office Medicaid#

100511624 (NV)

Commercial Insurance / Payer ID Henderson Office Medicaid#

100507579 (NV)

Commercial Insurance / Payer ID Sparks Office Medicaid#

100511622 (NV)

Commercial Insurance / Payer ID Reno Office Medicaid#

100510914 (NV)

Commercial Insurance / Payer ID Carson City Office Medicaid#

100511621 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Douglas Kern , DMD

Dentist - General Practice

NPI 1003199399

Doctor of Dental Medicine

Dr. Jason Vanlue , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1871650226

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2008

Registered at 2811 N GREEN VALLEY PKWY, HENDERSON, NV 890140401 (Tel: 7024342219)

📍

Updated Business Mailing Address June 25, 2008

Registered at 926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 327147244 (Tel: 4077725124)

👤

Provider Name / Credentials Updated June 25, 2008

Recorded as VINCENT COLOSIMO, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Dentist (License #4547T in NV)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639133978

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2006

Last Update: June 25, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

926 Great Pond Dr, Suite 2003

Altamonte Springs, FL 327147244

Phone: 4077725124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.