NPIMap

Organization Active NPI

Endodontic Group

  • Endodontics
  • Las Vegas, NV
National Provider Identifier
1447375241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2269 Issued in NV
Legal business name
ENDODONTIC GROUP
Practice address
4408 S Eastern Ave # 100
Las Vegas, NV 89119-7825
Phone
(702) 731-1658
Fax
(702) 731-5262
NPI assigned
Mar 20, 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. Thomas HeckNPI 1619092400
Title
Dentist
Phone
(702) 731-1658

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2269 NV Primary

Addresses

Primary practice location

4408 S Eastern Ave # 100
Las Vegas, NV 89119-7825

Mailing address

4408 S Eastern Ave # 100
Las Vegas, NV 89119-7825

National Provider Directory

National Provider Directory

Locations

4408 S Eastern Ave
#100
Las Vegas, NV 89119
Phone (702) 731-1658

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447375241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 S EASTERN AVE # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 S EASTERN AVE # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-731-1658",
            "fax_number": "702-731-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-731-1658",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "2269",
            "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 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.