NPIMap

Organization Active NPI

Nevada Dental Professional, Quirt, Kruyer, P.C.

Doing business as Summerlin Family Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1447575139
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Doing business as
Summerlin Family Dental
Practice address
7398 Smoke Ranch Rd Ste 290
Las Vegas, NV 89128-0268
Phone
(702) 656-9977
NPI assigned
Apr 6, 2010
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Carmen Woods
Title
Insurance Coordinator
Phone
(217) 540-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

7398 Smoke Ranch Rd Ste 290
Las Vegas, NV 89128-0268

Mailing address

7398 Smoke Ranch Rd Ste 290
Las Vegas, NV 89128-0268
Phone (702) 656-9977

Other names 1

  • Summerlin Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Professional Quirt Gates PC23 organizations share this tax ID, including this one
Part of
Nevada Dental Professional Quirt Gates PC

Other organizations with this tax ID 22

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

View all 22

Locations

7398 Smoke Ranch Rd
Ste 290
Las Vegas, NV 89128
Phone (702) 656-9977

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1447575139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7398 SMOKE RANCH RD STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280268",
            "telephone_number": "702-656-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7398 SMOKE RANCH RD STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280268",
            "telephone_number": "702-656-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "217-540-5141"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerlin Family Dental",
            "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 Sep 26, 2022; 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.