Organization Active NPI

Minh-Nguyen Luong, D.D.S, a Professional Coorporation

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1376917476
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3733 Issued in NV
Legal business name
MINH-NGUYEN LUONG, D.D.S, A PROFESSIONAL COORPORATION
Doing business as
Toothfairy Children's Dental
Practice address
8000 W Sahara Ave Ste 180
Las Vegas, NV 89117-7906
Phone
(702) 822-2300
Fax
(702) 309-9700
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Jeansse Villanueva
Title
Office Manager
Phone
(702) 222-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3733 NV Primary

Addresses

Primary practice location

8000 W Sahara Ave Ste 180
Las Vegas, NV 89117-7906

Mailing address

8000 W Sahara Ave Ste 180
Las Vegas, NV 89117-7906
Phone (702) 822-2300

Other names 1

  • Toothfairy Children's Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minh-Nguyen Luong DDS a Professional Coorporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8000 W Sahara Ave
Ste 180
Las Vegas, NV 89117
Phone (702) 822-2300

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": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1376917476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W SAHARA AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177906",
            "telephone_number": "702-822-2300",
            "fax_number": "702-309-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W SAHARA AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177906",
            "telephone_number": "702-822-2300",
            "fax_number": "702-309-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH-NGUYEN LUONG, D.D.S, A PROFESSIONAL COORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "JEANSSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-222-9700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "3733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toothfairy Children's Dental",
            "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 Nov 30, 2015; 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.