NPIMap

Organization Active NPI

Enhance Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1386984110
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3585 Issued in NV
Legal business name
ENHANCE DENTAL
Practice address
1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491
Phone
(702) 437-1007
NPI assigned
Feb 14, 2013
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Beatrice Anne Stark, D.D.S.NPI 1013015239
Title
Dentist
Phone
(702) 437-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3585 NV Primary

Addresses

Primary practice location

1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491

Mailing address

1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491
Phone (702) 437-1007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1386984110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S FORT APACHE RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175491",
            "telephone_number": "702-437-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S FORT APACHE RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175491",
            "telephone_number": "702-437-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-437-1007",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3585",
            "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 Feb 14, 2013; 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.