Organization Active NPI

Mouth Full of Metal LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1225316623
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5697 Issued in NV
Legal business name
MOUTH FULL OF METAL LLC
Practice address
3648 Auckland Castle St
Las Vegas, NV 89135-2816
Phone
(702) 482-8005
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Jay Davis, D.M.D.
Title
Member
Phone
(702) 482-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5697 NV Primary

Addresses

Primary practice location

3648 Auckland Castle St
Las Vegas, NV 89135-2816

Mailing address

3648 Auckland Castle St
Las Vegas, NV 89135-2816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1225316623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 AUCKLAND CASTLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 AUCKLAND CASTLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352816",
            "telephone_number": "702-482-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUTH FULL OF METAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-482-8005",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "5697",
            "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 2, 2011; 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.