Organization Active NPI

Star Brite Dental, Hai Q. Xa D.M.D. Prof. Corp.

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1508995598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3780 Issued in NV
Legal business name
STAR BRITE DENTAL, HAI Q. XA D.M.D. PROF. CORP.
Practice address
560 Marks St Ste B
Henderson, NV 89014-8602
Phone
(702) 456-5100
Fax
(702) 456-5102
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hai Q. Xa, D.M.D.
Title
President
Phone
(702) 456-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3780 NV Primary

Addresses

Primary practice location

560 Marks St Ste B
Henderson, NV 89014-8602

Mailing address

560 Marks St Ste B
Henderson, NV 89014-8602
Phone (702) 456-5100

Other identifiers 2

IdentifierTypeStateIssuer
71048OtherNVCULINARY
1392912OtherNVUNITED CONCORDIA

Other names 1

  • STAR BRITE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

560 Marks St
Ste B
Henderson, NV 89014
Phone (702) 456-5100

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508995598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MARKS ST STE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148602",
            "telephone_number": "702-456-5100",
            "fax_number": "702-456-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MARKS ST STE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148602",
            "telephone_number": "702-456-5100",
            "fax_number": "702-456-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR BRITE DENTAL, HAI Q. XA D.M.D. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XA",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-5100",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CULINARY",
            "identifier": "71048",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1392912",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR BRITE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.