Las Vegas Oral Surgery Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S2-26 Issued in NV

Legal business name

LAS VEGAS ORAL SURGERY INC

Doing business as

Las Vegas Oral Surgery

Practice address

7670 W Lake Mead Blvd
Suite 130
Las Vegas, NV 89128-6649

Phone

(702) 312-2273

Fax

(702) 312-2276

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By 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

Kevin M Martin, DDSNPI 1952376295

Title

Owner

Phone

(702) 204-8862

Specialties & licenses 1

Addresses

Other names 1

• Las Vegas Oral Surgery Doing business as

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.

• Kevin Mathew Martin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1952376295
  Authorized official Same address or phone

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1487828356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286649",
            "telephone_number": "702-312-2273",
            "fax_number": "702-312-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286649",
            "telephone_number": "702-312-2273",
            "fax_number": "702-312-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS ORAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-204-8862",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Las Vegas Neurosurgery Orthopaedics and Rehabilitation LLP
• Las Vegas Operations, LCC (Life Care Center of Las Vegas Rehabilitation Center)
• Las Vegas Operations, LLC (Life Care Center of Las Vegas)
• Las Vegas Operations, LLC
• Las Vegas Ophthalmology ASC LLC (American Surgery Centers of Las Vegas)
• Las Vegas Outpatient Rehabilitation Corporation
• Las Vegas Outpatient Rehabilitation Corporation
• Las Vegas Pain Institute and Medical Center, LLC (Las Vegas Pain Institute and Medical Center)
• Las Vegas Paiute Tribe
• Las Vegas Paiute Tribe Clinic

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.