NPIMap

Organization Active NPI

Nevada Dental Professional, Quirt, Kruyer, P.C.

Doing business as Desert Point Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1255576229
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3496 Issued in NV
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Doing business as
Desert Point Dental
Practice address
2560 Montessouri
St #109
Las Vegas, NV 89117-3063
Phone
(702) 822-1008
Fax
(702) 822-1016
NPI assigned
Dec 4, 2008
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Kim Zuber
Title
Cred Sup
Phone
(217) 540-5170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3496 NV Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2560 Montessouri
St #109
Las Vegas, NV 89117-3063

Mailing address

2560 Montessouri
St #109
Las Vegas, NV 89117-3063
Phone (702) 822-1008

Other names 1

  • Desert Point Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Professional Quirt Kruyer PC23 organizations share this tax ID, including this one
Part of
Nevada Dental Professional Quirt Kruyer PC

Other organizations with this tax ID 22

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

View all 22

Locations

2560 Montessouri St
Ste 109
Las Vegas, NV 89117
Phone (702) 362-9353

Practitioners & affiliated clinicians

Practitioners 2

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1255576229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 MONTESSOURI",
            "address_2": "ST #109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173063",
            "telephone_number": "702-822-1008",
            "fax_number": "702-822-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 MONTESSOURI",
            "address_2": "ST #109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173063",
            "telephone_number": "702-822-1008",
            "fax_number": "702-822-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "enumeration_date": "2008-12-04",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "ZUBER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED SUP",
        "authorized_official_telephone_number": "217-540-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3496",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Point Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Point 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 Sep 26, 2022; 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.