NPIMap

Organization Active NPI

US Dental Washington Inc

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1376709196
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3518 Issued in NV
Legal business name
US DENTAL WASHINGTON INC
Doing business as
US DENTAL WASHINGTON INC
Practice address
4440 E Washington Ave
Ste 102
Las Vegas, NV 89110-5792
Phone
(702) 437-1000
Fax
(702) 437-0653
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. David Lee, DMD
Title
President
Phone
(702) 241-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3518 NV Primary

Addresses

Primary practice location

4440 E Washington Ave
Ste 102
Las Vegas, NV 89110-5792

Mailing address

4440 E Washington Ave
Ste 102
Las Vegas, NV 89110-5792
Phone (702) 437-1000

Other names 1

  • US DENTAL WASHINGTON INC Doing business as

National Provider Directory

National Provider Directory

Locations

4440 E Washington Ave
Ste 102
Las Vegas, NV 89110
Phone (702) 437-1000

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1376709196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105792",
            "telephone_number": "702-437-1000",
            "fax_number": "702-437-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105792",
            "telephone_number": "702-437-1000",
            "fax_number": "702-437-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DENTAL WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-241-8206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US DENTAL WASHINGTON INC",
            "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 Jul 31, 2008; 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.