Organization Active NPI

Radiant Smiles Series 7, LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1083408132
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.