Organization Active NPI

Go Kids Dental North Decatur, LLC

Doing business as Go Kids Dental & Orthodontics

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1184450405
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GO KIDS DENTAL NORTH DECATUR, LLC
Doing business as
Go Kids Dental & Orthodontics
Practice address
6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013
Phone
(702) 522-0119
NPI assigned
Sep 12, 2024
Organization subpart
Yes
Parent organization
GO KIDS DENTAL NORTH DECATUR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Deep Karan DhillonNPI 1598043366
Title
Dentist
Phone
(702) 522-0119

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013

Mailing address

6311 N Decatur Blvd Ste 140
Las Vegas, NV 89130-8013
Phone (702) 522-0119

Other names 1

  • Go Kids Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Go Kids Dental North Decatur LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1184450405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 N DECATUR BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891308013",
            "telephone_number": "702-522-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 N DECATUR BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891308013",
            "telephone_number": "702-522-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO KIDS DENTAL NORTH DECATUR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GO KIDS DENTAL NORTH DECATUR, LLC",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "DEEP",
        "authorized_official_middle_name": "KARAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-522-0119"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Kids Dental & Orthodontics",
            "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 Sep 12, 2024; 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.