Aqua Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AQUA DENTAL GROUP LLC

Doing business as

A Plus Dental Group

Practice address

2500 Wigwam Pkwy Ste 110
Henderson, NV 89074-7113

Phone

(702) 522-9192

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Leila Khossoosi, DDSNPI 1922358944

Title

Manager

Phone

(702) 522-9192

Specialties & licenses 1

Addresses

Other names 1

• A Plus Dental Group Doing business as

Locations

Practitioners 2

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.

• Leila Khossoosi, DDS

  • Dentist
  • Las Vegas, NV
  • NPI 1922358944
  NPD (past) Authorized official
• Mohammad Khosousi, D.D.S

  • Dentist
  • Las Vegas, NV
  • NPI 1124394069
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1518523729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 E FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195114",
            "telephone_number": "702-522-9192",
            "fax_number": "888-299-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WIGWAM PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747113",
            "telephone_number": "702-522-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "KHOSSOOSI",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-522-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Applebaum, M.S., MFT INTERN
• Anna Appleby, APRN
• Tami Louise Applegate, MFT
• Bobbie L Appling
• Apria Healthcare LLC
• Malcolm Aquino, APRN, FNP-C
• Yosellyne Aragon
• Aranda Therapy and Psychological Services, PLLC (Aranda Therapy and Psychological Services)
• Christina Laura Aranda, PH.D.
• Jacqueline Grace Aranda, APRN

• Dental Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.