Organization Active NPI

Affordable Dental at Laughlin LLC

  • General Practice Dentistry
  • Laughlin, NV
National Provider Identifier
1043562895
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTAL AT LAUGHLIN LLC
Doing business as
Affordable Dental at Laughlin, LLC
Practice address
2311 S Casino Dr Ste D-2
Laughlin, NV 89029
Phone
(702) 299-9919
NPI assigned
Oct 3, 2012
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Roland Pischinger
Title
Insurance Department Manager
Phone
(702) 522-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2311 S Casino Dr Ste D-2
Laughlin, NV 89029

Mailing address

2101 S Jones Blvd Ste 140
Las Vegas, NV 89146-3133
Phone (702) 522-2269

Other names 1

  • Affordable Dental at Laughlin, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dental at Laughlin LLC2 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

2311 S Casino Dr
Ste D-2
Laughlin, NV 89029
Phone (702) 299-9919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1043562895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S JONES BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463133",
            "telephone_number": "702-522-2269",
            "fax_number": "702-990-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S CASINO DR STE D-2",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "89029",
            "telephone_number": "702-299-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTAL AT LAUGHLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "PISCHINGER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "702-522-2028"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dental at Laughlin, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Dental at Laughlin, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laughlin, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.