NPIMap

Organization Active NPI

Coast Dental of Nevada Inc

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1093085243
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COAST DENTAL OF NEVADA INC
Practice address
2047 W Charleston Blvd
Suite 100
Las Vegas, NV 89102
Phone
(813) 288-1999
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Darlene Finnell
Title
Director of Ins. and Credentialing
Phone
(813) 288-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NV Primary

Addresses

Primary practice location

2047 W Charleston Blvd
Suite 100
Las Vegas, NV 89102

Mailing address

4010 W Boy Scout Blvd
Suite 1100
Tampa, FL 33607-5727
Phone (813) 288-1999

National Provider Directory

National Provider Directory
Tax ID family
Coast Dental of Nevada Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1093085243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W BOY SCOUT BLVD",
            "address_2": "SUITE 1100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075727",
            "telephone_number": "813-288-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W CHARLESTON BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "813-288-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST DENTAL OF NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "FINNELL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF INS. AND CREDENTIALING",
        "authorized_official_telephone_number": "813-288-1999"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "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 May 31, 2018; 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.