NPIMap

Organization Active NPI

North Las Vegas Dental Group

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1023326162
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4555 Issued in NV
Legal business name
NORTH LAS VEGAS DENTAL GROUP
Practice address
1703 Civic Center Dr Ste 5
North Las Vegas, NV 89030-7273
Phone
(702) 452-5751
Fax
(702) 868-5755
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Thomas Trinh
Title
President
Phone
(702) 452-5751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4555 NV Primary

Addresses

Primary practice location

1703 Civic Center Dr Ste 5
North Las Vegas, NV 89030-7273

Mailing address

1703 Civic Center Dr Ste 5
North Las Vegas, NV 89030-7273
Phone (702) 452-5751

National Provider Directory

National Provider Directory
Tax ID family
North Las Vegas Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1703 Civic Center Dr
Ste 5
North Las Vegas, NV 89030
Phone (702) 874-4448

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1023326162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR STE 5",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307273",
            "telephone_number": "702-452-5751",
            "fax_number": "702-868-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR STE 5",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307273",
            "telephone_number": "702-452-5751",
            "fax_number": "702-868-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAS VEGAS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-452-5751"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.