Jade Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3518 Issued in NV

Legal business name

JADE DENTAL INC

Doing business as

JADE DENTAL

Practice address

3959 Spring Mountain Rd
Las Vegas, NV 89102-8613

Phone

(702) 220-7005

Fax

(702) 220-7004

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David S Lee, DMD

Title

President

Phone

(702) 220-7005

Specialties & licenses 1

Addresses

Other names 1

• JADE DENTAL Doing business as

Locations

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1033400361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028613",
            "telephone_number": "702-220-7005",
            "fax_number": "702-220-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028613",
            "telephone_number": "702-220-7005",
            "fax_number": "702-220-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-220-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JADE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Allan Jacques, CRNA
• Eva Araceli Jacquez
• Rose Jacskon
• Jadams Corporation
• Jadams Corporation
• Jade Health LLC
• Jade Home Health Inc
• Jade Madison Therapy LLC
• Jade Turner MD PC
• Tushar Jadhav, PMHNP-BC

• 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 Apr 20, 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.