Organization Active NPI

Anthem Hills Dental

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1063641769
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4185 Issued in NV
Legal business name
ANTHEM HILLS DENTAL
Practice address
12231 S Eastern Ave Ste 110
Henderson, NV 89052-4415
Phone
(702) 791-3100
Fax
(702) 362-3105
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Todd P Lee, DDSNPI 1467681163
Title
Managing Member
Phone
(702) 791-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4185 NV Primary

Addresses

Primary practice location

12231 S Eastern Ave Ste 110
Henderson, NV 89052-4415

Mailing address

12231 S Eastern Ave Ste 110
Henderson, NV 89052-4415
Phone (702) 791-3100

National Provider Directory

National Provider Directory

Locations

12231 S Eastern Ave
Ste 110
Henderson, NV 89052
Phone (702) 791-3100

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": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1063641769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524415",
            "telephone_number": "702-791-3100",
            "fax_number": "702-362-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524415",
            "telephone_number": "702-791-3100",
            "fax_number": "702-362-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM HILLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-791-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.