Organization Active NPI

Perfect 32 Dental Care LLC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1356701296
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6551 Issued in NV
Legal business name
PERFECT 32 DENTAL CARE LLC
Practice address
2810 W Charleston Blvd
Ste F56
Las Vegas, NV 89102-1921
Phone
(702) 486-5107
Fax
(702) 486-6254
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Maen Hijazi
Title
Owner
Phone
(702) 486-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6551 NV Primary

Addresses

Primary practice location

2810 W Charleston Blvd
Ste F56
Las Vegas, NV 89102-1921

Mailing address

2810 W Charleston Blvd
Ste F56
Las Vegas, NV 89102-1921
Phone (702) 486-5107

National Provider Directory

National Provider Directory

Locations

2810 W Charleston Blvd
Ste F56
Las Vegas, NV 89102
Phone (702) 486-5107

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1356701296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD",
            "address_2": "STE F56",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021921",
            "telephone_number": "702-486-5107",
            "fax_number": "702-486-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD",
            "address_2": "STE F56",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021921",
            "telephone_number": "702-486-5107",
            "fax_number": "702-486-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT 32 DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "HIJAZI",
        "authorized_official_first_name": "MAEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-486-5107"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "6551",
            "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 Mar 4, 2016; 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.