Northern Nevada Specialty Prada, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

NV20151700649 Issued in NV

Legal business name

NORTHERN NEVADA SPECIALTY PRADA, PLLC

Practice address

6490 S. McCarran Blvd. #17 & #18
Last Vegas, NV 89509

Phone

(775) 829-8901

NPI assigned

Dec 18, 2015

Organization subpart

Yes

Parent organization

ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLCAs reported in NPPES

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

Authorized official

Name

Patricia Prada, DDSNPI 1649360306

Title

Member

Phone

(775) 787-8900

Specialties & licenses 4

Addresses

Other names 1

• Absolute Dental Doing business as

Part of

Absolute Dental Orthodontics Prada PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Absolute Dental & Orthodontics Prada, PLLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1528430790
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Prada, DDS

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1649360306
  NPD Authorized official
• Aimee Nicole Abittan, D.M.D.

  • Dentist
  • Carson City, NV
  • NPI 1336599125
  NPD (past)
• Jeffrey D Askins, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reno, NV
  • NPI 1912101080
  NPD (past)
• Michael E Britting, DMD

  • General Practice Dentistry
  • Carson City, NV
  • NPI 1619325941
  NPD (past)
• Joseph Mir, DDS

  • General Practice Dentistry
  • Carson City, NV
  • NPI 1588746770
  NPD (past)
• Peter Najim, D.D.S.

  • Dentist
  • Carson City, NV
  • NPI 1700236817
  NPD (past)
• Ah Reum Park

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1508208547
  NPD (past)
• Tyler James Pine, DDS

  • Student in an Organized Health Care Education/Training Program
  • Las Vegas, NV
  • NPI 1518690593
  NPD (past)
• Samuel Samaroo, DDS

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1073325361
  NPD (past)

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1134584055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-435-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD. #17 & #18",
            "city": "LAST VEGAS",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-829-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA SPECIALTY PRADA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PRADA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-787-8900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "NV20151700649",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "NV20151700649",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "NV20151700649",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "NV20151700649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Nevada General Dentistry Prada, PLLC
• Janel Pietryga

• Pediatric Dentistry in Last Vegas, NV
• Providers in Last Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.