Organization Active NPI

Lac Dental LTD

Doing business as SmileCity Dental

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1518109396
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4561 Issued in NV
Legal business name
LAC DENTAL LTD
Doing business as
SmileCity Dental
Practice address
10170 W Tropicana Ave
Suite 155
Las Vegas, NV 89147-8465
Phone
(702) 248-0081
Fax
(702) 248-7123
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Aaron V Lac, D.M.D.NPI 1083628374
Title
Dentist
Phone
(702) 672-0628

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 4561 NV Primary

Addresses

Primary practice location

10170 W Tropicana Ave
Suite 155
Las Vegas, NV 89147-8465

Mailing address

10170 W Tropicana Ave
Suite 155
Las Vegas, NV 89147-8465
Phone (702) 248-0081

Other identifiers 2

IdentifierTypeStateIssuer
1606724OtherNVUNITED CONCORDIA
100503172MedicaidNV

Other names 1

  • SmileCity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10170 W Tropicana Ave
Ste 155
Las Vegas, NV 89147
Phone (702) 248-0081

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1518109396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE",
            "address_2": "SUITE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "702-248-0081",
            "fax_number": "702-248-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE",
            "address_2": "SUITE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "702-248-0081",
            "fax_number": "702-248-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-672-0628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "4561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1606724",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503172",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileCity 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 Mar 25, 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.