NPIMap

Organization Active NPI

Boulder Crossings Dental Partners PLLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1346831989
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOULDER CROSSINGS DENTAL PARTNERS PLLC
Practice address
4954 Boulder Hwy
Las Vegas, NV 89121-3016
Phone
(702) 847-6273
Fax
(702) 847-6274
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Whitney Wright, DDS
Title
Officer
Phone
(480) 339-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

4954 Boulder Hwy
Las Vegas, NV 89121-3016

Mailing address

3030 N. Central Ave
Suite 1500
Phoenix, AZ 85012-2750
Phone (602) 427-4066

Other names 1

  • Risas Dental and Braces Doing business as

National Provider Directory

National Provider Directory

Locations

4954 Boulder Hwy
Las Vegas, NV 89121
Phone (702) 847-6273

Practitioners & affiliated clinicians

Practitioners 4

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1346831989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N. CENTRAL AVE",
            "address_2": "SUITE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122750",
            "telephone_number": "602-427-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213016",
            "telephone_number": "702-847-6273",
            "fax_number": "702-847-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CROSSINGS DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-339-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Risas Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Risas Dental and Braces",
            "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 Mar 19, 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.