NPIMap

Organization Active NPI

David Ting DMD a Professional

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1497911812
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID TING DMD A PROFESSIONAL
Practice address
9484 W Lake Mead Blvd
Suite 2
Las Vegas, NV 89134
Phone
(702) 304-8338
Fax
(702) 304-0733
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Glenn Justice, DDSNPI 1790716355
Title
DDS
Phone
(702) 304-8338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9484 W Lake Mead Blvd
Suite 2
Las Vegas, NV 89134

Mailing address

2101 S Jones Blvd Ste 140
Las Vegas, NV 89146-3133
Phone (702) 522-2269

Other names 1

  • Boston Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9484 W Lake Mead Blvd
Ste 2
Las Vegas, NV 89134
Phone (702) 304-8338

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1497911812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S JONES BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463133",
            "telephone_number": "702-522-2269",
            "fax_number": "702-990-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 W LAKE MEAD BLVD",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-304-8338",
            "fax_number": "702-304-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TING DMD A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "702-304-8338",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boston Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2019; 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.