Organization Active NPI

Star Brite Dental, Xa Prof. Corp.

Doing business as Star Brite Dental

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1417085010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3780 Issued in NV
Legal business name
STAR BRITE DENTAL, XA PROF. CORP.
Doing business as
Star Brite Dental
Practice address
893 S Rainbow Blvd
Las Vegas, NV 89145-6238
Phone
(702) 456-0034
Fax
(702) 856-0035
NPI assigned
Mar 2, 2007
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
Dr. Hai Q. Xa, D.M.D.
Title
President
Phone
(702) 456-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3780 NV Primary

Addresses

Primary practice location

893 S Rainbow Blvd
Las Vegas, NV 89145-6238

Mailing address

893 S Rainbow Blvd
Las Vegas, NV 89145-6238
Phone (702) 456-0034

Other identifiers 2

IdentifierTypeStateIssuer
1655849OtherNVUNITED CONCORDIA
71739OtherNVCULINARY

Other names 1

  • STAR BRITE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

893 S Rainbow Blvd
Las Vegas, NV 89145
Phone (702) 456-0034

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417085010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "telephone_number": "702-456-0034",
            "fax_number": "702-856-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "telephone_number": "702-456-0034",
            "fax_number": "702-856-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR BRITE DENTAL, XA PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XA",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1655849",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CULINARY",
            "identifier": "71739",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR BRITE 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 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.