Paradise Village Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4709 Issued in NV

Legal business name

PARADISE VILLAGE DENTAL

Practice address

518 E St. Louis Ave
Las Vegas, NV 89104-2509

Phone

(702) 735-1096

Fax

(702) 735-2490

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Trang Nguyen

Title

Owner

Phone

(702) 735-1096

Specialties & licenses 1

Addresses

Tax ID family

Paradise Village Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pure Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1508191420
  NPD tax ID

Locations

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1487989448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E ST. LOUIS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042509",
            "telephone_number": "702-735-1096",
            "fax_number": "702-735-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E ST. LOUIS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042509",
            "telephone_number": "702-735-1096",
            "fax_number": "702-735-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VILLAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-735-1096"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Orthodontics
• Paradise Park Children'S Dental Clinic
• Paradise Park Place LLC
• Paradise Professional Care Inc
• Paradise Ranch, LLC
• Paradoxiq
• Pawel Parafianowicz, MD
• Bleselda G Paragas, PA-C
• Kristin Paragas
• Luna Carranza Paragas, RN

• 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 Oct 8, 2009; 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.