Black Mountain Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3208 Issued in NV

Legal business name

BLACK MOUNTAIN DENTAL

Doing business as

black mountain dental

Practice address

270 E Horizon Dr
Suite 106
Henderson, NV 89015-8036

Phone

(702) 699-5551

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Garth Harris, DDS

Title

Owner

Phone

(702) 699-5551

Specialties & licenses 1

Addresses

Other names 1

• black mountain dental Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174686034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HORIZON DR",
            "address_2": "SUITE 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158036",
            "telephone_number": "702-699-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HORIZON DR",
            "address_2": "SUITE 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158036",
            "telephone_number": "702-699-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MOUNTAIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "GARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-699-5551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "black mountain dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne Bistrek
• Sasson Biton
• Mark Bittinger, DPT
• Chad E Bittner, MD
• Samantha Rebecca Marie Bivins
• Black Mountain Orthopaedics Assc LLP
• Melissa L. Black, LCSW
• Shelly Black, LCSW
• Teresa Sanchez Black
• Angelique Blackburn

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.