Organization Active NPI

Harmon and Otteson Dental Eastern LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1487540373
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARMON AND OTTESON DENTAL EASTERN LLC
Practice address
4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425
Phone
(702) 233-1222
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Kendra Ebert, DBA
Title
Coo
Phone
(765) 669-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425

Mailing address

8217 Swan Lake Ave
Las Vegas, NV 89128-7411
Phone (765) 669-1254

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1487540373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 SWAN LAKE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287411",
            "telephone_number": "765-669-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE E8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195425",
            "telephone_number": "702-233-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON AND OTTESON DENTAL EASTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "765-669-1254",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Jun 16, 2025; 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.