Clement Rainbow Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLEMENT RAINBOW MODERN DENTISTRY, PC

Doing business as

Rainbow Modern Dentistry

Practice address

3675 S Rainbow Blvd Ste 105
Las Vegas, NV 89103-1059

Phone

(702) 602-2196

Fax

(702) 444-2325

NPI assigned

Apr 11, 2022

Last updated

Feb 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Clement

Title

Owner/DMD

Phone

(701) 601-2196

Specialties & licenses 2

Addresses

Other names 1

• Rainbow Modern Dentistry Doing business as

Locations

Practitioners 2

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.

• Kaman Yuly Chen NG

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1396437406
  NPD
• Celina Liezl Jimenez Deleon, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1699589309
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1477295368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031059",
            "telephone_number": "702-602-2196",
            "fax_number": "702-444-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT RAINBOW MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DMD",
        "authorized_official_telephone_number": "701-601-2196"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainbow Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Cleghorn
• Maggie Michelle Cleland
• Remi Cleland, RBT
• Meghan Clemens
• Clement J. Strumillo, D.O., Apc
• Jennifer Clement, D.M.D
• Rudys Clemente Crespo
• Saili Clemente Crespo
• Samantha Clemente
• Alexandra J Clements, BS

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, 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 Feb 21, 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.