NPIMap

Organization Active NPI

Enchanting LLC

  • Dental Clinic/Center
  • N Las Vegas, NV
National Provider Identifier
1306002720
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENCHANTING LLC
Doing business as
Affordable Dental
Practice address
3880 W Lake Mead Blvd Ste 100
N Las Vegas, NV 89032
Phone
(702) 399-8888
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Roland Pischinger
Title
Insurance Department Manager
Phone
(702) 522-2028

Specialties & licenses 1

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

Addresses

Primary practice location

3880 W Lake Mead Blvd Ste 100
N Las Vegas, NV 89032

Mailing address

2101 S Jones Blvd Ste 140
Las Vegas, NV 89146-3133
Phone (702) 522-2269

Other names 1

  • Affordable Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3880 W Lake Mead Blvd
Ste 100
North Las Vegas, NV 89032
Phone (702) 399-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1306002720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S JONES BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463133",
            "telephone_number": "702-522-2269",
            "fax_number": "702-990-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 W LAKE MEAD BLVD STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-399-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "PISCHINGER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "702-522-2028"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.