GKD Galaxy LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GKD GALAXY LLC

Doing business as

Galaxy Kids Dental

Practice address

9575 W Tropicana Ave Ste 5
Las Vegas, NV 89147-8491

Phone

(702) 633-8331

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Carla Lalande Cordova, DMD MSD

Title

Member

Phone

(702) 254-8858

Specialties & licenses 1

Addresses

Other names 1

• Galaxy Kids Dental Doing business as

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1376323428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N BUFFALO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297462",
            "telephone_number": "702-254-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 W TROPICANA AVE STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478491",
            "telephone_number": "702-633-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKD GALAXY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "LALANDE CORDOVA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-254-8858",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaxy Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shrice Gladden
• Kevin Gladin, MD

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.