OrganizationActive
Ccpd LLC
NPI 1134662679 · Pediatric Dentistry · Carson City, NV
Ccpd LLC is a Pediatric Dentistry organization in Carson City, NV (NPI 1134662679).
Provider details
- NPI number
- 1134662679
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Olson, Manager(775) 461-3800
- License
- S6-109 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4530 S Carson St Ste 5
Carson City, NV 89701-6914
Phone: (775) 461-3800
Fax: (775) 461-3801
Street-level locationGet directions
Mailing address
4530 S Carson St Ste 5
Carson City, NV 89701-6914
Other names (DBA / former)
- Other name
- Carson City Pediatric Dentistry
Registry dates
- Enumerated
- 2016-12-01
- Last updated
- 2016-12-01
Frequently asked questions
- What is Ccpd LLC's NPI number?
- Ccpd LLC's National Provider Identifier (NPI) is 1134662679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccpd LLC?
- Ccpd LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Ccpd LLC located?
- Ccpd LLC's practice location on file with NPPES is 4530 S Carson St Ste 5, Carson City, NV 89701-6914.
- What is Ccpd LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccpd LLC is (775) 461-3800.
- Who is the authorized official for Ccpd LLC?
- The authorized official listed on Ccpd LLC's NPPES record is Kevin Olson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccpd LLC's NPI active?
- Yes — Ccpd LLC's NPI (1134662679) is active in the NPPES registry as of the last update on 2016-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.