Organization Active NPI

Chad N Gubler DDS Casino Direct LTD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1548084759
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHAD N GUBLER DDS CASINO DIRECT LTD
Practice address
2560 Montessouri St Ste 109
Las Vegas, NV 89117-3063
Phone
(702) 362-9353
Fax
(702) 761-4545
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Chad N Gubler, DDS
Title
Owner Doctor
Phone
(702) 349-6350

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2560 Montessouri St Ste 109
Las Vegas, NV 89117-3063

Mailing address

1701 W Charleston Blvd Ste 500
Las Vegas, NV 89102-2309
Phone (702) 322-2200

Other identifiers 1

IdentifierTypeStateIssuer
1790939403MedicaidNV

Other names 1

  • BYND-Chad N Gubler DDS Casino Direct (AHD) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chad N Gubler DDS Casino Direct LTD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1548084759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022309",
            "telephone_number": "702-322-2200",
            "fax_number": "702-330-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 MONTESSOURI ST STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173063",
            "telephone_number": "702-362-9353",
            "fax_number": "702-761-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD N GUBLER DDS CASINO DIRECT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "GUBLER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "702-349-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790939403",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BYND-Chad N Gubler DDS Casino Direct (AHD)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BYND-Chad N Gubler DDS Casino Direct (AHD)",
            "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 Jan 29, 2025; 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.