Anthem Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3522 Issued in NV

Legal business name

ANTHEM DENTAL INC

Practice address

10960 S Eastern Ave
Ste 112
Henderson, NV 89052-4977

Phone

(702) 616-1600

Fax

(702) 616-6611

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Latifi, DDS

Title

President

Phone

(702) 616-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306069828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 S EASTERN AVE",
            "address_2": "STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524977",
            "telephone_number": "702-616-1600",
            "fax_number": "702-616-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 S EASTERN AVE",
            "address_2": "STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524977",
            "telephone_number": "702-616-1600",
            "fax_number": "702-616-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATIFI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-616-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Heppenstall, LLC
• Nelandra Anselmo, MS, LMFT
• Leanna Maria Asuncion Antenor
• Anthem Behavioral Associates
• Anthem Chiropractic Inc
• Anthem Hills Dental
• Anthem Hospice Inc
• Anthem Periodontics and Dental Implants
• Anthem Physical Therapy, Inc.
• Anthem Village Dental LLC

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.