Pure Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4709 Issued in NV

Legal business name

PURE DENTAL

Practice address

4250 S Rainbow Blvd
#1004-1005
Las Vegas, NV 89103-3159

Phone

(702) 456-4600

Fax

(702) 456-3600

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trang Nguyen

Title

Owner

Phone

(702) 456-4600

Specialties & licenses 1

Addresses

Tax ID family

Paradise Village Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Paradise Village Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1487989448
  NPD tax ID

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1508191420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD",
            "address_2": "#1004-1005",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033159",
            "telephone_number": "702-456-4600",
            "fax_number": "702-456-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD",
            "address_2": "#1004-1005",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033159",
            "telephone_number": "702-456-4600",
            "fax_number": "702-456-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-456-4600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Laurie Purdum, BOCO, BOCP
• Elizabeth Purdy
• Jennifer Monique Purdy
• Nicole Purdy, A.A. PSYCHOLOGY
• Pure Counseling LLC
• Pure Healthcare of Nevada LLC
• Pure Heart Family Services, LLC.
• Pure Intention Health
• Pure Orthodontics
• Pure Pca Las Vegas, LLC

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.