NPIMap

Organization Active NPI

Holtzen & Johnson, LTD

Doing business as Nevada Oral & Facial Surgery

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1447346226
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3332 Issued in NV
Legal business name
HOLTZEN & JOHNSON, LTD
Doing business as
Nevada Oral & Facial Surgery
Practice address
6950 Smoke Ranch Road
Ste 200
Las Vegas, NV 89128
Phone
(702) 360-8918
Fax
(702) 360-2504
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Robert Edward Nyikos
Title
Administrator
Phone
(702) 360-8918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3332 NV Primary

Addresses

Primary practice location

6950 Smoke Ranch Road
Ste 200
Las Vegas, NV 89128

Mailing address

6950 Smoke Ranch Road
Ste 200
Las Vegas, NV 89128
Phone (702) 360-8918

Other names 1

  • Nevada Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1525 W Warm Springs Rd
Ste 125
Henderson, NV 89014
Phone (702) 433-4355

6950 Smoke Ranch Rd
Ste 200
Las Vegas, NV 89128
Phone (702) 360-8918

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1447346226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SMOKE RANCH ROAD",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-360-8918",
            "fax_number": "702-360-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SMOKE RANCH ROAD",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-360-8918",
            "fax_number": "702-360-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTZEN & JOHNSON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "NYIKOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-360-8918"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Oral & Facial Surgery",
            "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 Feb 4, 2008; 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.