Active NPI
Tiburcio Ting and Chung Prof LLC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1164722203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3692
- Legal business name
- TIBURCIO TING AND CHUNG PROF LLC
- Practice address
- 5590 Painted Mirage Rd
Suite 140-150
Las Vegas, NV 89149-4579 - Phone
- (702) 450-8888
- Fax
- (702) 450-8899
- NPI assigned
- Oct 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David T Ting, DMD
- Title
- Owner/Dentist
- Phone
- (702) 450-8888
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4274 | NV | |
| General Practice Dentistry | 1223G0001X | 5737 | NV | |
| General Practice Dentistry | 1223G0001X | 3692 | NV | Primary |
Addresses
Primary practice location
5590 Painted Mirage Rd
Suite 140-150
Las Vegas, NV 89149-4579
Mailing address
5590 Painted Mirage Rd
Suite 140-150
Las Vegas, NV 89149-4579
Phone (702) 450-8888
National Provider Directory
National Provider Directory- Tax ID family
- Affordable Dental II
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Las Vegas, NV
- NPI 1154621407
Locations
5590 Painted Mirage Rd
Ste 140150
Las Vegas, NV 89149
Phone (702) 353-4081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1164722203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5590 PAINTED MIRAGE RD",
"address_2": "SUITE 140-150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494579",
"telephone_number": "702-450-8888",
"fax_number": "702-450-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 PAINTED MIRAGE RD",
"address_2": "SUITE 140-150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494579",
"telephone_number": "702-450-8888",
"fax_number": "702-450-8899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIBURCIO TING AND CHUNG PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "TING",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "702-450-8888",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4274",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5737",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "3692",
"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 Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.