NPIMap

Organization Active NPI

Brian Chamberlain Unlimited PC

Doing business as Supersmile Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1366115453
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRIAN CHAMBERLAIN UNLIMITED PC
Doing business as
Supersmile Orthodontics
Practice address
7090 N Durango Dr Ste 120
Las Vegas, NV 89149-4495
Phone
(702) 645-5100
NPI assigned
Jul 26, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Dr. Brian Chamberlain, DDSNPI 1326261132
Title
Owner
Phone
(702) 645-5100

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7090 N Durango Dr Ste 120
Las Vegas, NV 89149-4495

Mailing address

7090 N Durango Dr Ste 120
Las Vegas, NV 89149-4495
Phone (702) 645-5100

Other names 1

  • Supersmile Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian Chamberlain Unlimited PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7090 N Durango Dr
Ste 120
Las Vegas, NV 89149
Phone (702) 645-5100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1366115453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494495",
            "telephone_number": "702-645-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494495",
            "telephone_number": "702-645-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CHAMBERLAIN UNLIMITED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-645-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supersmile Orthodontics",
            "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 3, 2021; 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.