Mrdntd LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3502 Issued in NV

Legal business name

MRDNTD LLC

Doing business as

Gardens Cosmetic & Family Dentistry

Practice address

3575 S. Town Center Dr.
Suite 120
Las Vegas, NV 89135

Phone

(702) 869-5700

Fax

(702) 869-6657

NPI assigned

Dec 1, 2008

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prof. John Soumi, DDSNPI 1194851956

Title

Manager

Phone

(702) 869-5700

Specialties & licenses 1

Addresses

Other names 1

• Gardens Cosmetic & Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Soumi, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1194851956
  NPD (past) Authorized official

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1023263365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 S. TOWN CENTER DR.",
            "address_2": "#120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-869-5700",
            "fax_number": "702-869-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 S. TOWN CENTER DR.",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-869-5700",
            "fax_number": "702-869-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRDNTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SOUMI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-869-5700",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardens Cosmetic & Family Dentistry",
            "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 Jan 19, 2011; 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.