Organization Active NPI

Hillcrest Dental LLC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1508104209
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4782 Issued in NV
Legal business name
HILLCREST DENTAL LLC
Practice address
3350 Novat St
Las Vegas, NV 89129-8717
Phone
(702) 395-1088
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Olya Banchik, DDS
Title
Owner
Phone
(949) 836-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4782 NV Primary

Addresses

Primary practice location

3350 Novat St
Las Vegas, NV 89129-8717

Mailing address

3350 Novat St
Las Vegas, NV 89129-8717
Phone (702) 395-1088

National Provider Directory

National Provider Directory

Locations

3350 Novat St
Las Vegas, NV 89129

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1508104209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NOVAT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298717",
            "telephone_number": "702-395-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NOVAT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298717",
            "telephone_number": "702-395-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "BANCHIK",
        "authorized_official_first_name": "OLYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-836-6060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4782",
            "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 Jan 30, 2013; 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.