Dr Amy Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5733 Issued in NV

Legal business name

DR AMY DENTAL

Practice address

2685 S Rainbow Blvd
Ste 107
Las Vegas, NV 89146-5182

Phone

(702) 722-2324

NPI assigned

Feb 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Tongsiri, DMD

Title

Owner/Dentist

Phone

(702) 301-1195

Specialties & licenses 1

Addresses

Other names 1

• Silver State Smiles Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1003148040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S RAINBOW BLVD",
            "address_2": "STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 S RAINBOW BLVD",
            "address_2": "STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465182",
            "telephone_number": "702-722-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "TONGSIRI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "702-301-1195",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.