Active NPI
New Image Dental
- Dental Clinic/Center
- Las Vegas, NV
National Provider Identifier
1497234645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NEW IMAGE DENTAL
- Practice address
- 3885 S Decatur Blvd Ste 1100
Las Vegas, NV 89103-5872 - Phone
- (702) 838-3311
- NPI assigned
- Aug 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Puneet Brar, DMD
- Title
- Dentist
- Phone
- (414) 446-0272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NV | Primary |
Addresses
Primary practice location
3885 S Decatur Blvd Ste 1100
Las Vegas, NV 89103-5872
Mailing address
3885 S Decatur Blvd
Las Vegas, NV 89103-5855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
3885 S Decatur Blvd
Las Vegas, NV 89103
Phone (702) 643-5888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533686400000",
"number": "1497234645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 S DECATUR BLVD STE 1100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035872",
"telephone_number": "702-838-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW IMAGE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A",
"authorized_official_last_name": "BRAR",
"authorized_official_first_name": "PUNEET",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "414-446-0272",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "NV"
}
],
"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 Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.