Organization Active NPI

Just Smile LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1295550424
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JUST SMILE LLC
Practice address
2840 E Flamingo Rd Ste G
Las Vegas, NV 89121-5202
Phone
(725) 250-2840
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Authorized official

Name
Derek Winn
Title
Director of Operations
Phone
(725) 259-4332

Specialties & licenses 1

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

Addresses

Primary practice location

2840 E Flamingo Rd Ste G
Las Vegas, NV 89121-5202

Mailing address

2840 E Flamingo Rd Ste G
Las Vegas, NV 89121-5202
Phone (725) 250-2840

Other names 1

  • PARCS Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2840 E Flamingo Rd
Ste G
Las Vegas, NV 89121
Phone (702) 228-1106

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1295550424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 E FLAMINGO RD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215202",
            "telephone_number": "725-250-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E FLAMINGO RD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215202",
            "telephone_number": "725-250-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "725-259-4332"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARCS Dentistry",
            "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 Dec 1, 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.