Organization Active NPI

Radiant Smiles Series 8 LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1447047014
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RADIANT SMILES SERIES 8 LLC
Practice address
5095 Blue Diamond Rd Ste 105
Las Vegas, NV 89139-7693
Phone
(702) 970-0512
NPI assigned
Apr 24, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Adrian RuizNPI 1477564284
Title
Manager
Phone
(702) 970-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5095 Blue Diamond Rd Ste 105
Las Vegas, NV 89139-7693

Mailing address

1680 Tangiers Dr
Henderson, NV 89012-7236
Phone (702) 970-0512

National Provider Directory

National Provider Directory

Locations

5095 Blue Diamond Rd
Ste 105
Las Vegas, NV 89139
Phone (702) 970-0512

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": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1447047014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 TANGIERS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127236",
            "telephone_number": "702-970-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 BLUE DIAMOND RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397693",
            "telephone_number": "702-970-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILES SERIES 8 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-970-0512",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "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 Apr 24, 2025; 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.