NPIMap

Organization Active NPI

Dental Nation

  • Point of Service
  • Las Vegas, NV
National Provider Identifier
1447576665
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
DENTAL NATION
Practice address
1500 E Desert Inn Rd
Ste #3
Las Vegas, NV 89169-2550
Phone
(702) 642-8101
Fax
(702) 642-1131
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Kline C Black, DMD
Title
President
Phone
(702) 642-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1500 E Desert Inn Rd
Ste #3
Las Vegas, NV 89169-2550

Mailing address

1500 E Desert Inn Rd
Ste #3
Las Vegas, NV 89169-2550
Phone (702) 642-8101

Other names 1

  • Kline C. Black, DMD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1447576665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E DESERT INN RD",
            "address_2": "STE #3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692550",
            "telephone_number": "702-642-8101",
            "fax_number": "702-642-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DESERT INN RD",
            "address_2": "STE #3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692550",
            "telephone_number": "702-642-8101",
            "fax_number": "702-642-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KLINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-642-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kline C. Black, DMD",
            "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 Dec 16, 2010; 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.