Active NPI
Mouth Full of Metal LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
National Provider Identifier
1225316623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5697
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryNPI 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.