NPIMap

Organization Active NPI

Southern Nevada Family Dentistry Nassar PC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1376613331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3524
Legal business name
SOUTHERN NEVADA FAMILY DENTISTRY NASSAR PC
Practice address
6115 S. Fort Apache Rd.
Suite 108
Las Vegas, NV 89148
Phone
(702) 309-9611
Fax
(702) 309-2220
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Nassar, DDSNPI 1699844282
Title
Secretary
Phone
(702) 361-9611

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3524 Primary

Addresses

Primary practice location

6115 S. Fort Apache Rd.
Suite 108
Las Vegas, NV 89148

Mailing address

6115 S. Fort Apache Rd.
Suite 108
Las Vegas, NV 89148
Phone (702) 309-9611

Other names 1

  • Smile Design Center Doing business as

National Provider Directory

National Provider Directory

Locations

6115 S Fort Apache Rd
Ste 108
Las Vegas, NV 89148
Phone (702) 309-9611

Practitioners & affiliated clinicians

Practitioners 2

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376613331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 S. FORT APACHE RD.",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-309-9611",
            "fax_number": "702-309-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 S. FORT APACHE RD.",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-309-9611",
            "fax_number": "702-309-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA FAMILY DENTISTRY NASSAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-361-9611",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Center",
            "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 Aug 22, 2020; 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.