NPIMap

Organization Active NPI

Ernesto Barbosa DMD, P.C.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1043582810
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6060 Issued in NV
Legal business name
ERNESTO BARBOSA DMD, P.C.
Practice address
1264 S Nellis Blvd
Las Vegas, NV 89104-5782
Phone
(702) 243-2489
Fax
(702) 438-4428
NPI assigned
Feb 8, 2012
Organization subpart
Yes
Parent organization
ERNESTO BARBOSA DMD, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Ernesto Barbosa
Title
Owner
Phone
(702) 278-0876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6060 NV Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 8361 NV

Addresses

Primary practice location

1264 S Nellis Blvd
Las Vegas, NV 89104-5782

Mailing address

1264 S Nellis Blvd
Las Vegas, NV 89104-5782
Phone (702) 243-2489

National Provider Directory

National Provider Directory
Part of
Ernesto Barbosa DMD PC

Locations

1264 S Nellis Blvd
Las Vegas, NV 89104
Phone (702) 243-2489

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1043582810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045782",
            "telephone_number": "702-243-2489",
            "fax_number": "702-438-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045782",
            "telephone_number": "702-243-2489",
            "fax_number": "702-438-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO BARBOSA DMD, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERNESTO BARBOSA DMD, P.C.",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "BARBOSA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-278-0876"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "6060",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "8361",
            "primary": false
        }
    ],
    "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 Feb 8, 2012; 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.