Active NPI
Star Brite Dental, Xa Prof. Corp.
Doing business as Star Brite Dental
- Dental Clinic/Center
- Las Vegas, NV
National Provider Identifier
1417085010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3780
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1655849 | Other | NV | UNITED CONCORDIA |
| 71739 | Other | NV | CULINARY |
Other names 1
- STAR BRITE DENTAL
National Provider Directory
National Provider DirectoryLocations
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.