Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437842978 Individual Practitioner Male Practitioner

Jack Fang

Dentist - General Practice • Sparks, NV

Professional Overview & Biography Verified Profile Summary

Jack Fang is a registered healthcare professional specializing in Dentist - General Practice in Sparks, NV. Practice services are available at 1125 N MCCARRAN BLVD STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1125 N Mccarran Blvd Ste 109

Sparks, NV 894314607

Telephone 7753918996

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sparks, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Sparks, 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

CMS Verified: 2024-10-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 8075

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 03, 2024

Registered at 1125 N MCCARRAN BLVD STE 109, SPARKS, NV 894314607 (Tel: 7753918996)

📍
Updated Business Mailing Address October 03, 2024

Registered at 1125 N MCCARRAN BLVD STE 109, SPARKS, NV 894314607

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2024

Dentist (License #8075 in NV)

NPI Profile Active May 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2023

Registered at 714 TIVERTON AVE, LOS ANGELES, CA 900958361 (Tel: 1310206390)

📍
Updated Business Mailing Address May 31, 2023

Registered at 723 1/2 LEVERING AVE, LOS ANGELES, CA 900246609

👤
Provider Name / Credentials Updated May 31, 2023

Recorded as JACK FANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 31, 2023

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: 1437842978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2023
Last Update: October 03, 2024
Sole Proprietor: No

Mailing Address

1125 N Mccarran Blvd Ste 109

Sparks, NV 894314607

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.