NPIMap

Organization Active NPI

Olya Banchik DDS PC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1275854069
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4782 Issued in NV
Legal business name
OLYA BANCHIK DDS PC
Practice address
1825 Village Center Cir
Suite 150
Las Vegas, NV 89134-0518
Phone
(702) 341-9597
Fax
(702) 360-3178
NPI assigned
Jun 16, 2010
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Olya Banchik, DDS
Title
Owner
Phone
(702) 341-9597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4782 NV Primary

Addresses

Primary practice location

1825 Village Center Cir
Suite 150
Las Vegas, NV 89134-0518

Mailing address

1825 Village Center Cir
Suite 150
Las Vegas, NV 89134-0518
Phone (702) 341-9597

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1275854069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 VILLAGE CENTER CIR",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340518",
            "telephone_number": "702-341-9597",
            "fax_number": "702-360-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 VILLAGE CENTER CIR",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340518",
            "telephone_number": "702-341-9597",
            "fax_number": "702-360-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYA BANCHIK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "BANCHIK",
        "authorized_official_first_name": "OLYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-341-9597",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "4782",
            "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 Mar 14, 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.