Northern Nevada General Dentistry Prada, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

S6-33C Issued in NV

Legal business name

NORTHERN NEVADA GENERAL DENTISTRY PRADA, PLLC

Doing business as

Absolute Dental

Practice address

6490 S. McCarran Blvd. #17 & #18
Last Vegas, NV 89509

Phone

(775) 829-8901

NPI assigned

Dec 18, 2015

Organization subpart

Yes

Parent organization

ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLCAs reported in NPPES

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

Authorized official

Name

Patricia Prada, DDS

Title

Member

Phone

(775) 787-8900

Specialties & licenses 1

Addresses

Other names 1

• Absolute Dental Doing business as

Part of

Absolute Dental Orthodontics Prada PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Absolute Dental & Orthodontics Prada, PLLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1528430790
  NPPES parent name

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1083079081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-435-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD. #17 & #18",
            "city": "LAST VEGAS",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-829-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA GENERAL DENTISTRY PRADA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PRADA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-787-8900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "S6-33C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Nevada Specialty Prada, PLLC
• Janel Pietryga

• General Practice Dentistry in Last Vegas, NV
• Providers in Last Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.