NPIMap

Organization Active NPI

P3 Dental - Welebir PC

Doing business as Summerlin Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1245569920
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
P3 DENTAL - WELEBIR PC
Doing business as
Summerlin Dental
Practice address
410 S. Rampart Blvd., Suite 360
Las Vegas, NV 89145
Phone
(702) 228-2218
Fax
(702) 228-7411
NPI assigned
Dec 9, 2009
Organization subpart
Yes
Parent organization
P3 DENTAL - WELEBIR PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Beatriz Hernandez
Title
Supervisor
Phone
(714) 578-6591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

410 S. Rampart Blvd., Suite 360
Las Vegas, NV 89145

Mailing address

P3 Dental - Welebir PC
1131 S. Casino Blvd
Las Vegas, NV 89104
Phone (702) 228-2218

Other names 1

  • Summerlin Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P3 Dental - Welebir PC6 organizations share this tax ID, including this one
Part of
P3 Dental - Welebir PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1245569920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P3 DENTAL - WELEBIR PC",
            "address_2": "1131 S. CASINO BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-228-2218",
            "fax_number": "702-228-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S. RAMPART BLVD., SUITE 360",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "702-228-2218",
            "fax_number": "702-228-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 DENTAL - WELEBIR PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "P3 DENTAL - WELEBIR PC",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-578-6591"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerlin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2018; 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.