Alex Y. Song, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3487 Issued in NV

Practice address

220 E Horizon Dr
Suite F
Henderson, NV 89015-8035

Phone

(702) 563-6956

Fax

(702) 563-6957

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Valley Dental LLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1619847837
  NPD Authorized official
• Song'S Dentistry a Professional Corporation

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1801970223
  NPD (past) Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457558918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "SUITE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-563-6956",
            "fax_number": "702-563-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "SUITE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-563-6956",
            "fax_number": "702-563-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ALEX",
        "middle_name": "Y.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelita Soliz
• Alana Solomon, LCSW
• Jisu Son
• Rajesh Sonani, M.D.
• Rachel Sonetti, MSN, APRN, PMHNP-BC
• Song'S Dentistry a Professional Corporation
• Scott Sonnenberg
• Courtney Sonntag
• Anant K Sonpatki, MD
• Sonu R Bhatia MD PC

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.