Active NPI
Go Kids Dental North Decatur, LLC
Doing business as Go Kids Dental & Orthodontics
- Pediatric Dentistry
- Las Vegas, NV
National Provider Identifier
1184450405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deep Karan Dhillon
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
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.
-
- Pediatric Dentistry
- Hermiston, OR
- NPI 1598043366
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
- Belinda A Gnerre
- Philip Bransford Gnilka
- Gnoyski Huynh Huynh Rehabilitation Associates of Nevada (Rehabilitation Associates of Nevada)
- Joseph Michael Gnoyski, M.D.
- Go Get Her LLC
- Go Live Happy, Inc. (Go Live Happy)
- Go Vamo Transport LLC
- Go With the Flow Behavioral Health
- Anansa Katrina Go, ARNP
- Christian Lim Go, LPTA
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.