Rebel Ortho LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

REBEL ORTHO LLC

Practice address

1306 W Craig Rd Ste H
North Las Vegas, NV 89032-0215

Phone

(702) 633-4333

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Soard, DMDNPI 1194131011

Title

Owner

Phone

(702) 742-5824

Specialties & licenses 1

Addresses

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.

• Zachary Dan Soard, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1194131011
  Authorized official Same address or phone

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1255161097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W CRAIG RD STE H",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320215",
            "telephone_number": "702-633-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W CRAIG RD STE H",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320215",
            "telephone_number": "702-633-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SOARD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-742-5824",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reaching Out Community Services
• Chereene Marie Reagan
• Robert Reagan
• Real Behavioral Health Services
• Linvela Tecara Reaves-Jones
• Rebuilding to Success
• Iris Recio Estrada
• Mary Ann Records, PH.D.
• Recovery Basics
• Calvin Redden

• Orthodontics and Dentofacial Orthopedics Dentistry in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.