Active NPI
Paradise LV Nielson PDC PLLC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1053287144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PARADISE LV NIELSON PDC PLLC
- Practice address
- 2458 E Russell Rd Ste B
Las Vegas, NV 89120-2475 - Phone
- (702) 798-4595
- NPI assigned
- Oct 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaxon Downing
- Title
- Credentialing Specialist
- Phone
- (801) 305-3460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2458 E Russell Rd Ste B
Las Vegas, NV 89120-2475
Mailing address
727 E Utah Valley Dr
American Fork, UT 84003-3345
Phone (801) 305-3460
National Provider Directory
National Provider DirectoryLocations
2458 E Russell Rd
Ste B
Las Vegas, NV 89120
Phone (702) 798-4595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Las Vegas, NV
- NPI 1730118894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1053287144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 E UTAH VALLEY DR",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033345",
"telephone_number": "801-305-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2458 E RUSSELL RD STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202475",
"telephone_number": "702-798-4595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE LV NIELSON PDC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "DOWNING",
"authorized_official_first_name": "JAXON",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "801-305-3460"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Paradise Healthcare Services, Inc.
- Paradise Healthcare Services, Inc.
- Paradise Healthcare Services, Inc.
- Paradise Healthcare Services, Inc. Dba Paradise Home Care
- Paradise Home Health LLC
- Paradise Medical Enterprises
- Paradise Memory Care
- Paradise Mental Health Services LLC
- Paradise Mental Therapy LLC
- Paradise Orthodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.