Organization Active NPI

Ameritina Dental Eastern LLC

Doing business as Nevada Dentistry and Braces

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1477183101
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMERITINA DENTAL EASTERN LLC
Doing business as
Nevada Dentistry and Braces
Practice address
581 N Eastern Ave
Las Vegas, NV 89101-3422
Phone
(702) 444-7810
Fax
(702) 445-6299
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Arash Bakhaj, DDSNPI 1851649768
Title
Ceo
Phone
(646) 592-5597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

581 N Eastern Ave
Las Vegas, NV 89101-3422

Mailing address

2810 Bellini Dr
Henderson, NV 89052-3118
Phone (646) 592-5597

Other names 1

  • Nevada Dentistry and Braces Doing business as

National Provider Directory

National Provider Directory

Locations

581 N Eastern Ave
Las Vegas, NV 89101
Phone (702) 444-7810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1477183101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 BELLINI DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523118",
            "telephone_number": "646-592-5597",
            "fax_number": "702-722-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 N EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013422",
            "telephone_number": "702-444-7810",
            "fax_number": "702-445-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERITINA DENTAL EASTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "BAKHAJ",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-592-5597",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dentistry and Braces",
            "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 Jan 22, 2020; 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.