NPIMap

Organization Active NPI

Johnathan R. White DDS LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1346521275
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5556 Issued in NV
Legal business name
JOHNATHAN R. WHITE DDS LLC
Practice address
8084 W Sahara Ave
Suite G
Las Vegas, NV 89117-2073
Phone
(702) 823-3000
Fax
(702) 685-8254
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Dr. Johnathan R White, DDSNPI 1073784575
Title
Owner
Phone
(702) 823-3000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5556 NV Primary

Addresses

Primary practice location

8084 W Sahara Ave
Suite G
Las Vegas, NV 89117-2073

Mailing address

8084 W Sahara Ave
Suite G
Las Vegas, NV 89117-2073
Phone (702) 823-3000

Other names 1

  • Aesthetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8084 W Sahara Ave
Ste G
Las Vegas, NV 89117
Phone (702) 823-3000

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": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1346521275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE",
            "address_2": "SUITE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172073",
            "telephone_number": "702-823-3000",
            "fax_number": "702-685-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE",
            "address_2": "SUITE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172073",
            "telephone_number": "702-823-3000",
            "fax_number": "702-685-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNATHAN R. WHITE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-823-3000",
        "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": "5556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic 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 Sep 6, 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.