NPIMap

Organization Active NPI

Absolute Dental, Inc

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1225127004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4509 Issued in NV
Legal business name
ABSOLUTE DENTAL, INC
Practice address
8380 W Cheyenne Ave
Suite 103
Las Vegas, NV 89129-8405
Phone
(702) 388-8989
Fax
(702) 396-0075
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benny Kohanteb, D.D.S.
Title
Owner
Phone
(702) 388-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4509 NV Primary

Addresses

Primary practice location

8380 W Cheyenne Ave
Suite 103
Las Vegas, NV 89129-8405

Mailing address

8380 W Cheyenne Ave
Suite 103
Las Vegas, NV 89129-8405
Phone (702) 388-8989

National Provider Directory

National Provider Directory

Locations

8380 W Cheyenne Ave
Ste 103
Las Vegas, NV 89129
Phone (702) 388-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225127004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W CHEYENNE AVE",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298405",
            "telephone_number": "702-388-8989",
            "fax_number": "702-396-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W CHEYENNE AVE",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298405",
            "telephone_number": "702-388-8989",
            "fax_number": "702-396-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-388-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4509",
            "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 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.