Organization Active NPI

Toothfairy Children's Dental

  • Dentist
  • Henderson, NV
National Provider Identifier
1407212624
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOOTHFAIRY CHILDREN'S DENTAL
Practice address
10925 S Eastern Ave Ste 130
Henderson, NV 89052-5214
Phone
(702) 222-9700
Fax
(702) 309-9700
NPI assigned
Jan 4, 2016
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Minh-Nguyen Luong, DDS
Title
Dentist/Owner
Phone
(702) 222-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

10925 S Eastern Ave Ste 130
Henderson, NV 89052-5214

Mailing address

10925 S Eastern Ave Ste 130
Henderson, NV 89052-5214
Phone (702) 222-9700

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

10925 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 222-9700

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1407212624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 S EASTERN AVE STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525214",
            "telephone_number": "702-222-9700",
            "fax_number": "702-309-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 S EASTERN AVE STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525214",
            "telephone_number": "702-222-9700",
            "fax_number": "702-309-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHFAIRY CHILDREN'S DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "MINH-NGUYEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "702-222-9700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.