Vivid Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VIVID DENTAL LLC

Practice address

9310 W Sahara Ave Ste 2
Las Vegas, NV 89117-5399

Phone

(702) 625-4225

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Jinbo Chung, DMDNPI 1114379567

Title

Ceo

Phone

(213) 999-1731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jinbo Chung, D.M.D.

  • Dentist
  • Sandusky, OH
  • NPI 1114379567
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1538844337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 W SAHARA AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175399",
            "telephone_number": "702-625-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 W SAHARA AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175399",
            "telephone_number": "702-625-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JINBO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-999-1731",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Vivarelli
• Vivavida Medical Group LLC
• Vinayaka Vivekanand Desai
• Renee Viveros
• Siumi Vives Ley
• Vivienne Velasco O D PC (iFocus Vision Center)
• Jessica Vivier
• Vivo Vision Inc.
• Alison Vixaysakd
• Katty Vizcaino

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, 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 Jun 19, 2023; 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.