Organization Active NPI

Changing Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1033804364
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHANGING SMILES PEDIATRIC DENTISTRY
Practice address
1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone
(702) 281-1922
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Terry C Meads, DMDNPI 1699153536
Title
President
Phone
(702) 281-1922

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150

Mailing address

10476 Kimberton Ave
Las Vegas, NV 89166-6748
Phone (702) 281-1922

National Provider Directory

National Provider Directory

Locations

1750 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 272-1100

Practitioners & affiliated clinicians

Practitioners 1

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1033804364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10476 KIMBERTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666748",
            "telephone_number": "702-281-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-281-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MEADS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-281-1922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Aug 30, 2023; 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.