Flamingo Dental Partners LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLAMINGO DENTAL PARTNERS LLC

Doing business as

Boca Dental and Braces

Practice address

6680 W Flamingo Rd Ste a
Las Vegas, NV 89103-2189

Phone

(702) 389-4039

Fax

(702) 389-1887

NPI assigned

Apr 9, 2020

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wyatt S Dannels, DDS

Title

Owner

Phone

(702) 381-7059

Specialties & licenses 1

Addresses

Other names 1

• Boca Dental and Braces Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1083233001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 W FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032189",
            "telephone_number": "702-389-4039",
            "fax_number": "702-389-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 W FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032189",
            "telephone_number": "702-389-4039",
            "fax_number": "702-389-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "DANNELS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-381-7059",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flamingo@bocadentalandbraces.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6680 W Flamingo Rd Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891032189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boca Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal Flake
• La Donna Flake, LSW
• Yolanda D Flamenco-Nega
• Jennifer Flamenco, LMSW
• Flamingo Chiropractic LLC
• Flamingo Dental Sleep Solutions Inc
• Flamingo Emergency Physicians
• Flamingo Pain Specialists Laird, PLLC (Flamingo Pain Specialists)
• Flamingo Pecos Surgery LLC
• Flamingo Rd Nielson PDC PLLC (Kohlmeyer Dental of Las Vegas)

• General Practice Dentistry in Las Vegas, NV
• Providers in Las 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 Apr 9, 2020; 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.