NPIMap

Organization Active NPI

Tiburcio Ting and Chung Prof LLC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1154621407
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TIBURCIO TING AND CHUNG PROF LLC
Practice address
5590 Painted Mirage Rd
Ste. 140-150
Las Vegas, NV 89149
Phone
(702) 353-4081
Fax
(702) 947-6752
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Roland Pischinger
Title
Insurance Department Manager
Phone
(702) 522-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5590 Painted Mirage Rd
Ste. 140-150
Las Vegas, NV 89149

Mailing address

2101 S Jones Blvd Ste 140
Las Vegas, NV 89146-3133
Phone (702) 522-2269

Other names 1

  • Affordable Dental II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dental II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1154621407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S JONES BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463133",
            "telephone_number": "702-522-2269",
            "fax_number": "702-990-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 PAINTED MIRAGE RD",
            "address_2": "STE. 140-150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-353-4081",
            "fax_number": "702-947-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBURCIO TING AND CHUNG PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "PISCHINGER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "702-522-2028"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dental II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Dental II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 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.