NPIMap

Organization Active NPI

Life Dentistry - Dr Duff, PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1376008193
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LIFE DENTISTRY - DR DUFF, PLLC
Practice address
10670 Dean Martin Dr.
Suite 100
Las Vegas, NV 89141
Phone
(702) 680-1120
Fax
(702) 680-1118
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Mason Duff, DMDNPI 1912380577
Title
Managing Member
Phone
(702) 816-9615

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10670 Dean Martin Dr.
Suite 100
Las Vegas, NV 89141

Mailing address

10670 Dean Martin Dr Ste 100
Las Vegas, NV 89141-3597
Phone (702) 680-1120

National Provider Directory

National Provider Directory

Locations

10670 Dean Martin Dr
Ste 100
Las Vegas, NV 89141
Phone (702) 680-1120

Practitioners & affiliated clinicians

Practitioners 1

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": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1376008193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 DEAN MARTIN DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413597",
            "telephone_number": "702-680-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 DEAN MARTIN DR.",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "702-680-1120",
            "fax_number": "702-680-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DENTISTRY - DR DUFF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-816-9615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Oct 11, 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.