NPIMap

Organization Active NPI

Coast Dental of Nevada Inc.

  • Dentist
  • Pahrump, NV
National Provider Identifier
1447520697
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COAST DENTAL OF NEVADA INC.
Practice address
1420 E Highway 372
Pahrump, NV 89048
Phone
(813) 288-1999
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Darlene Finnell
Title
Director of Credentialing
Phone
(813) 350-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NV Primary

Addresses

Primary practice location

1420 E Highway 372
Pahrump, NV 89048

Mailing address

4010 W Boy Scout Blvd
Suite 1100
Tampa, FL 33607-5727
Phone (813) 288-1999

National Provider Directory

National Provider Directory
Tax ID family
Coast Dental of Nevada Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1420 E Nevada Highway 372
Pahrump, NV 89048
Phone (775) 727-6647

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1447520697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W BOY SCOUT BLVD",
            "address_2": "SUITE 1100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075727",
            "telephone_number": "813-288-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E HIGHWAY 372",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "813-288-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST DENTAL OF NEVADA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "FINNELL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "813-350-7160"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.