Organization Active NPI

Parkway Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1225253925
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4156 Issued in NV
Legal business name
PARKWAY DENTAL
Practice address
210 S. Maryland Parkway
Suite a
Las Vegas, NV 89101-5361
Phone
(702) 384-3461
Fax
(702) 384-2377
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Ronrico Arcangel Mangapit, D.M.D., P.C.NPI 1093813115
Title
Dentist
Phone
(702) 384-3461

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4156 NV Primary

Addresses

Primary practice location

210 S. Maryland Parkway
Suite a
Las Vegas, NV 89101-5361

Mailing address

210 S. Maryland Parkway
Suite a
Las Vegas, NV 89101-5361
Phone (702) 384-3461

Other identifiers 1

IdentifierTypeStateIssuer
100510354MedicaidNV

National Provider Directory

National Provider Directory

Locations

210 S Maryland Pkwy
Ste A
Las Vegas, NV 89101
Phone (702) 384-3461

Practitioners & affiliated clinicians

Practitioners 1

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1225253925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. MARYLAND PARKWAY",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015361",
            "telephone_number": "702-384-3461",
            "fax_number": "702-384-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. MARYLAND PARKWAY",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015361",
            "telephone_number": "702-384-3461",
            "fax_number": "702-384-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MANGAPIT",
        "authorized_official_first_name": "RONRICO",
        "authorized_official_middle_name": "ARCANGEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-384-3461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510354",
            "state": "NV"
        }
    ],
    "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 Jun 30, 2008; 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.