Organization Active NPI

Absolute Dental Nellis, LLC

Doing business as Absolute Dental Nellis

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1063607315
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ABSOLUTE DENTAL NELLIS, LLC
Doing business as
Absolute Dental Nellis
Practice address
169 N Nellis Blvd
Las Vegas, NV 89110-5320
Phone
(702) 435-5015
Fax
(702) 366-1483
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Michael A Alterman
Title
Owner
Phone
(702) 435-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

169 N Nellis Blvd
Las Vegas, NV 89110-5320

Mailing address

169 N Nellis Blvd
Las Vegas, NV 89110-5320
Phone (702) 435-5015

Other names 1

  • Absolute Dental Nellis Doing business as

National Provider Directory

National Provider Directory

Locations

169 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 384-1010

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1063607315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105320",
            "telephone_number": "702-435-5015",
            "fax_number": "702-366-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105320",
            "telephone_number": "702-435-5015",
            "fax_number": "702-366-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DENTAL NELLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ALTERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-435-5015",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental Nellis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2007; 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.