NPIMap

Organization Active NPI

Masaki Durango Dental Group, PC

Doing business as Durango Dental Group

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1447346481
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MASAKI DURANGO DENTAL GROUP, PC
Doing business as
Durango Dental Group
Practice address
3140 S Durango Dr
Ste. 100
Las Vegas, NV 89117-9189
Phone
(702) 362-1856
Fax
(702) 804-0465
NPI assigned
Oct 5, 2006
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Matthew G K Masaki, DDSNPI 1598012163
Title
Owner
Phone
(702) 362-1856

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3140 S Durango Dr
Ste. 100
Las Vegas, NV 89117-9189

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Durango Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3140 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 362-1856

Practitioners & affiliated clinicians

Practitioners 9

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1447346481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S DURANGO DR",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179189",
            "telephone_number": "702-362-1856",
            "fax_number": "702-804-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASAKI DURANGO DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MASAKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-362-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durango Dental Group",
            "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 May 7, 2015; 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.