Organization Active NPI

Planet Dental Inc

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1366775389
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4603 Issued in NV
Legal business name
PLANET DENTAL INC
Practice address
4570 N Rancho Dr
Ste 2
Las Vegas, NV 89130-3430
Phone
(702) 656-9497
Fax
(702) 656-9138
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Anna Nguyen
Title
Office Manager
Phone
(702) 457-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4603 NV Primary

Addresses

Primary practice location

4570 N Rancho Dr
Ste 2
Las Vegas, NV 89130-3430

Mailing address

2755 S Nellis Blvd
Ste 12
Las Vegas, NV 89121-7549
Phone (702) 457-5335

National Provider Directory

National Provider Directory

Locations

4570 N Rancho Dr
Ste 2
Las Vegas, NV 89130
Phone (702) 656-9497

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1366775389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S NELLIS BLVD",
            "address_2": "STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217549",
            "telephone_number": "702-457-5335",
            "fax_number": "702-457-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 N RANCHO DR",
            "address_2": "STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303430",
            "telephone_number": "702-656-9497",
            "fax_number": "702-656-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-457-5335"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4603",
            "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 Jan 16, 2013; 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.