NPIMap

Organization Active NPI

Creative Dental

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1295974780
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4585 Issued in NV
Legal business name
CREATIVE DENTAL
Practice address
2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548
Phone
(702) 641-0481
Fax
(702) 641-0128
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Julia Luu Le, DDSNPI 1417057092
Title
Managing Dentist
Phone
(702) 641-0481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4585 NV Primary

Addresses

Primary practice location

2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548

Mailing address

2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548
Phone (702) 641-0481

National Provider Directory

National Provider Directory

Locations

2585 S Nellis Blvd
Ste 6
Las Vegas, NV 89121
Phone (702) 641-0481

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1295974780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S NELLIS BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217548",
            "telephone_number": "702-641-0481",
            "fax_number": "702-641-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S NELLIS BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217548",
            "telephone_number": "702-641-0481",
            "fax_number": "702-641-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "LUU",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "702-641-0481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4585",
            "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 Feb 6, 2009; 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.