Organization Active NPI

Blair a Isom DDS LTD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1497295968
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2260 Issued in NV
Legal business name
BLAIR A ISOM DDS LTD
Practice address
7180 Cascade Valley CT Ste 100
Las Vegas, NV 89128-1407
Phone
(702) 645-1323
Fax
(702) 645-8807
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Blair A Isom, DDS
Title
Owner
Phone
(702) 645-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2260 NV Primary

Addresses

Primary practice location

7180 Cascade Valley CT Ste 100
Las Vegas, NV 89128-1407

Mailing address

7180 Cascade Valley CT Ste 100
Las Vegas, NV 89128-1407
Phone (702) 645-1323

National Provider Directory

National Provider Directory

Locations

7180 Cascade Valley Ct
Ste 100
Las Vegas, NV 89128
Phone (702) 360-9061

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1497295968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281407",
            "telephone_number": "702-645-1323",
            "fax_number": "702-645-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281407",
            "telephone_number": "702-645-1323",
            "fax_number": "702-645-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR A ISOM DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "ISOM",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-645-1323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "2260",
            "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 Mar 3, 2017; 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.