Organization Active NPI

New Image Dental

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1497234645
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 8, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NAMedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.