Active NPI
Nakeji Dental LLC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1013776053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NAKEJI DENTAL LLC
- Practice address
- 1212 S Maryland Pkwy
Las Vegas, NV 89104-1728 - Phone
- (725) 291-5588
- NPI assigned
- Mar 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshue Ramirez
- Title
- Manager
- Phone
- (619) 879-2202
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1212 S Maryland Pkwy
Las Vegas, NV 89104-1728
Mailing address
1212 S Maryland Pkwy
Las Vegas, NV 89104-1728
Phone (725) 291-5588
Other names 1
- Luminous Dental
National Provider Directory
National Provider DirectoryLocations
1212 S Maryland Pkwy
Las Vegas, NV 89104
Phone (702) 385-3688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1013776053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891041728",
"telephone_number": "725-291-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891041728",
"telephone_number": "725-291-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAKEJI DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "JOSHUE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "619-879-2202"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Luminous Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 13, 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.