Organization Active NPI

Dental Hygiene Direct

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1043812993
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL HYGIENE DIRECT
Practice address
1930 Village Center Cir Ste 3-957
Las Vegas, NV 89134-6299
Phone
(702) 721-8405
NPI assigned
Nov 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Authorized official

Name
Jessica Woods, MPH, RDH
Title
Patient Care Director
Phone
(702) 721-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1930 Village Center Cir Ste 3-957
Las Vegas, NV 89134-6299

Mailing address

12261 Los Mares LN
Las Vegas, NV 89138-1124
Phone (714) 292-3291

Other identifiers 1

IdentifierTypeStateIssuer
1962649715MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.dentalhygienedirect.com

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
Ste 3957
Las Vegas, NV 89134
Phone (702) 721-8405

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": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1043812993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 LOS MARES LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381124",
            "telephone_number": "714-292-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-957",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-721-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HYGIENE DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PATIENT CARE DIRECTOR",
        "authorized_official_telephone_number": "702-721-8405",
        "authorized_official_credential": "MPH, RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962649715",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.dentalhygienedirect.com",
            "affiliation": "N",
            "address_1": "1930 Village Center Cir Ste 3-957",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891346299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 14, 2020; 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.