Organization Active NPI

Dr Scott Wilson DDS

Doing business as Smile Care Professionals

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1083134845
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR SCOTT WILSON DDS
Doing business as
Smile Care Professionals
Practice address
6386 W Sahara Ave # 6388
Las Vegas, NV 89146
Phone
(702) 288-7200
Fax
(702) 889-7200
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Scott Wilson, DDS
Title
Owner
Phone
(702) 288-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6386 W Sahara Ave # 6388
Las Vegas, NV 89146

Mailing address

6386 W Sahara Ave # 6388
Las Vegas, NV 89146-3050
Phone (702) 288-7200

Other names 1

  • Smile Care Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

6386 W Sahara Ave
#6388
Las Vegas, NV 89146
Phone (702) 228-7200

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083134845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 W SAHARA AVE # 6388",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463050",
            "telephone_number": "702-288-7200",
            "fax_number": "702-889-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 W SAHARA AVE # 6388",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-288-7200",
            "fax_number": "702-889-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT WILSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-288-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Care Professionals",
            "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 Jul 21, 2022; 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.