Organization Active NPI

Saoly Benson DDS Ms Prof. Corp.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1003214305
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-272 Issued in NV
Legal business name
SAOLY BENSON DDS MS PROF. CORP.
Practice address
5980 S Durango Dr Ste 124
Las Vegas, NV 89113-1775
Phone
(702) 800-4698
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Saoly Benson, D.D.S., M.S.NPI 1427330554
Title
Orthodontist
Phone
(253) 985-3120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-272 NV Primary

Addresses

Primary practice location

5980 S Durango Dr Ste 124
Las Vegas, NV 89113-1775

Mailing address

1452 W Horizon Ridge Pkwy # 653
Henderson, NV 89012-4422

National Provider Directory

National Provider Directory

Locations

1452 W Horizon Ridge Pkwy
#653
Henderson, NV 89012

5980 S Durango Dr
Ste 124
Las Vegas, NV 89113
Phone (702) 800-4698

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1003214305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W HORIZON RIDGE PKWY # 653",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S DURANGO DR STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131775",
            "telephone_number": "702-800-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAOLY BENSON DDS MS PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "SAOLY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "253-985-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.