Organization Active NPI

Truman and Dougherty Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1467220335
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TRUMAN AND DOUGHERTY ORTHODONTICS
Practice address
10000 W Sahara Ave Ste 110
Las Vegas, NV 89117-6072
Phone
(702) 360-9000
Fax
(702) 320-9045
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Kelsey Willman
Title
Office Manager
Phone
(702) 360-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10000 W Sahara Ave Ste 110
Las Vegas, NV 89117-6072

Mailing address

10000 W Sahara Ave Ste 110
Las Vegas, NV 89117-6072
Phone (702) 360-9000

Other practice location 1

6440 Centennial Center Blvd Ste 130
Las Vegas, NV 89149-4797
Phone (702) 360-9000

National Provider Directory

National Provider Directory

Locations

10000 W Sahara Ave
Ste 110
Las Vegas, NV 89117
Phone (702) 360-9000

6440 Centennial Center Blvd
Ste 130
Las Vegas, NV 89149
Phone (702) 360-9000

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": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1467220335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176072",
            "telephone_number": "702-360-9000",
            "fax_number": "702-320-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176072",
            "telephone_number": "702-360-9000",
            "fax_number": "702-320-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Centennial Center Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494797",
            "country_code": "US",
            "telephone_number": "702-360-9000",
            "fax_number": "702-320-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUMAN AND DOUGHERTY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "WILLMAN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-360-9000"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Dec 19, 2023; 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.