NV SDS II PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NV SDS II PLLC

Doing business as

Anthem Pediatric Dentistry

Practice address

10400 S Eastern Ave
Henderson, NV 89052-3957

Phone

(720) 531-5437

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NV SDS II PLLCAs reported in NPPES

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

Authorized official

Name

Charlotte V Dasch

Title

Sr Director of Crednetialimg

Phone

(504) 638-0303

Specialties & licenses 2

Addresses

Other names 1

• Anthem Pediatric Dentistry Doing business as

Tax ID family

NV SDS II PLLC3 organizations share this tax ID, including this one

Part of

NV SDS II PLLC

Other organizations with this tax ID 2

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

• NV SDS II PLLC

  • Pediatric Dentistry
  • Elko, NV
  • NPI 1649156316
  NPD tax ID
• NV SDS II PLLC

  dba Children's Dentistry of Elko

  • Pediatric Dentistry
  • Elko, NV
  • NPI 1982580676
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• NV SDS II PLLC

  • Pediatric Dentistry
  • Elko, NV
  • NPI 1649156316
  NPPES parent name

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1548146236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "504-638-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523957",
            "telephone_number": "720-531-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4245 E Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891042380",
            "country_code": "US",
            "telephone_number": "702-459-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NV SDS II PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NV SDS II PLLC",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SR DIRECTOR OF CREDNETIALIMG",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthem Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NV Dental Partners LLC (The Kids Dentist of Henderson)
• Edith Nwosu
• Ozioma Chiebuka Nwosu, MSN FNP
• Gilbert Mudiwa Nyamuswa, M.D.
• Lilian Nyaruba
• Melissa O'Berto, SLP-CCC

• Pediatric Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.