Active NPI
Radiant Smiles Series 7, LLC
- Dental Clinic/Center
- Las Vegas, NV
National Provider Identifier
1083408132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- RADIANT SMILES SERIES 7, LLC
- Practice address
- 6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013 - Phone
- (435) 559-1247
- NPI assigned
- Apr 5, 2025
- Last updated
- Apr 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Young
- Title
- Regional Manager
- Phone
- (435) 559-1247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013
Mailing address
6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013
National Provider Directory
National Provider DirectoryLocations
6311 N Decatur Blvd
Ste 140
Las Vegas, NV 89130
Phone (435) 559-1247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743811200000",
"number": "1083408132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 N DECATUR BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891308013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311 N DECATUR BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891308013",
"telephone_number": "435-559-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT SMILES SERIES 7, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-05",
"last_updated": "2025-04-05",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "435-559-1247"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.