Organization Active NPI

Enchanted Dental Care PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1063197184
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENCHANTED DENTAL CARE PLLC
Practice address
3700 Pecos McLeod Ste 200
Las Vegas, NV 89121-4259
Phone
(702) 732-2333
Fax
(702) 732-0881
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Dr. David Croddy, DDS
Title
Dentist
Phone
(702) 732-2333

Specialties & licenses 1

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

Addresses

Primary practice location

3700 Pecos McLeod Ste 200
Las Vegas, NV 89121-4259

Mailing address

3700 Pecos McLeod Ste 200
Las Vegas, NV 89121-4259
Phone (702) 732-2333

Other names 1

  • Enchanted Dental Care Other name

National Provider Directory

National Provider Directory

Locations

3700 Pecos McLeod
Ste 200
Las Vegas, NV 89121
Phone (702) 732-2333

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1063197184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PECOS MCLEOD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214259",
            "telephone_number": "702-732-2333",
            "fax_number": "702-732-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PECOS MCLEOD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214259",
            "telephone_number": "702-732-2333",
            "fax_number": "702-732-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "CRODDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-732-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enchanted Dental Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Enchanted Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 3, 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.

Verify at the official NPI Registry.