Organization Active NPI

Going the Extra Smile LLC

Doing business as Anthem Dental Implants

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1164135240
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOING THE EXTRA SMILE LLC
Doing business as
Anthem Dental Implants
Practice address
10880 S Eastern Ave Ste 101
Henderson, NV 89052-5706
Phone
(702) 616-1600
Fax
(702) 616-6611
NPI assigned
Jan 3, 2023
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Parminder Atwal, DMDNPI 1174938039
Title
Managing Member
Phone
(702) 372-5973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10880 S Eastern Ave Ste 101
Henderson, NV 89052-5706

Mailing address

10624 S. Eastern Ave.
Suite a PMB 972
Henderson, NV 89052-2983
Phone (702) 372-5973

Other names 1

  • Anthem Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

10880 S Eastern Ave
Ste 101
Henderson, NV 89052
Phone (702) 616-1600

10624 S Eastern Ave
Ste A
Henderson, NV 89052
Phone (702) 480-1544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1164135240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S. EASTERN AVE.",
            "address_2": "SUITE A PMB 972",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522983",
            "telephone_number": "702-372-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 S EASTERN AVE STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525706",
            "telephone_number": "702-616-1600",
            "fax_number": "702-616-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOING THE EXTRA SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-372-5973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthem Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.