NPIMap

Organization Active NPI

Nevada Health Centers, Inc.

Doing business as Eastern Family Medical and Dental Center

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1508014440
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3471 Issued in NV
Legal business name
NEVADA HEALTH CENTERS, INC.
Doing business as
Eastern Family Medical and Dental Center
Practice address
2212 S Eastern Ave
Las Vegas, NV 89104-4124
Phone
(702) 735-9334
Fax
(702) 935-9335
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Thomas G Chase
Title
Ceo
Phone
(775) 888-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3471 NV Primary

Addresses

Primary practice location

2212 S Eastern Ave
Las Vegas, NV 89104-4124

Mailing address

1802 N Carson St Ste 100
Carson City, NV 89701-1227
Phone (775) 888-6610

Other identifiers 1

IdentifierTypeStateIssuer
Q07-01544-6-142192OtherNVBUSINESS LICENSE

Other names 1

  • Eastern Family Medical and Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Health Centers I34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1508014440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044124",
            "telephone_number": "702-735-9334",
            "fax_number": "702-935-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-888-6610"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "3471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "Q07-01544-6-142192",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Family Medical and Dental Center",
            "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 Sep 4, 2008; 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.