NPIMap

Organization Active NPI

Glenn E. Hurst DDS a Professional Corporation

Doing business as Hurst Family Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1043413354
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GLENN E. HURST DDS A PROFESSIONAL CORPORATION
Doing business as
Hurst Family Dental
Practice address
7325 S Pecos Rd
Suite 101
Las Vegas, NV 89120
Phone
(702) 897-1120
Fax
(702) 897-4624
NPI assigned
Jun 6, 2007
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Glenn E Hurst, DDSNPI 1780784876
Title
President
Phone
(702) 897-1120

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7325 S Pecos Rd
Suite 101
Las Vegas, NV 89120

Mailing address

7325 S Pecos Rd
Suite 101
Las Vegas, NV 89120
Phone (702) 897-1120

Other identifiers 1

IdentifierTypeStateIssuer
535809OtherNVUNITED CONCORDIA

Other names 1

  • HURST FAMILY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

7325 S Pecos Rd
Ste 101
Las Vegas, NV 89120
Phone (702) 897-1120

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1043413354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 S PECOS RD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-897-1120",
            "fax_number": "702-897-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 S PECOS RD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-897-1120",
            "fax_number": "702-897-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E. HURST DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-897-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "535809",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HURST FAMILY 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 Jul 27, 2016; 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.