NPIMap

Organization Active NPI

Callaway-Nelson Flamingo Smiles, PC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1174837009
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CALLAWAY-NELSON FLAMINGO SMILES, PC
Practice address
9516 W Flamingo Rd Ste 200
Las Vegas, NV 89147-5750
Phone
(702) 254-3135
Fax
(702) 254-2325
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Cari A Callaway-Nelson, DDS
Title
Owner Doctor
Phone
(702) 254-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9516 W Flamingo Rd Ste 200
Las Vegas, NV 89147-5750

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Flamingo Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9516 W Flamingo Rd
Ste 200
Las Vegas, NV 89147
Phone (702) 254-3135

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1174837009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 W FLAMINGO RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475750",
            "telephone_number": "702-254-3135",
            "fax_number": "702-254-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY-NELSON FLAMINGO SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY-NELSON",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "702-254-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flamingo Smiles",
            "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 Jan 3, 2014; 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.