NPIMap

Organization Active NPI

Nevada Dental Specialists, LLC

Doing business as Nevada Dental Specialists--Ortho.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carson City, NV
National Provider Identifier
1538495148
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4509 Issued in NV
Legal business name
NEVADA DENTAL SPECIALISTS, LLC
Doing business as
Nevada Dental Specialists--Ortho.
Practice address
971 Topsy LN
#333
Carson City, NV 89705-8421
Phone
(775) 884-4888
Fax
(775) 267-4288
NPI assigned
Nov 2, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Benny Kohanteb
Title
Owner
Phone
(702) 435-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4509 NV Primary

Addresses

Primary practice location

971 Topsy LN
#333
Carson City, NV 89705-8421

Mailing address

526 S Tonopah Dr
#200
Las Vegas, NV 89106-4043
Phone (702) 435-5015

Other names 1

  • Nevada Dental Specialists--Ortho. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Specialists LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1538495148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "702-435-5015",
            "fax_number": "702-366-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 TOPSY LN",
            "address_2": "#333",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897058421",
            "telephone_number": "775-884-4888",
            "fax_number": "775-267-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-435-5016"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dental Specialists--Ortho.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.