Active NPI
Bella Children'S Dental Care LLC
- Pediatric Dentistry
- Henderson, NV
National Provider Identifier
1558034546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- BELLA CHILDREN'S DENTAL CARE LLC
- Practice address
- 1909 N Green Valley Pkwy
Henderson, NV 89074-8352 - Phone
- (725) 235-9505
- Fax
- (725) 235-9507
- NPI assigned
- Jul 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marty Lalande
- Title
- Business Administrator
- Phone
- (702) 254-8858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1909 N Green Valley Pkwy
Henderson, NV 89074-8352
Mailing address
3600 N Buffalo Dr Ste 110
Las Vegas, NV 89129-7462
Phone (702) 254-8858
Other names 1
- Children's Dental Care at Green Valley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | greenvalley@bellachildrensdentalcare.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Bella Children'S Dental Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Las Vegas, NV
- NPI 1942840723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1558034546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 N BUFFALO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297462",
"telephone_number": "702-254-8858",
"fax_number": "702-254-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N GREEN VALLEY PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748352",
"telephone_number": "725-235-9505",
"fax_number": "725-235-9507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLA CHILDREN'S DENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "LALANDE",
"authorized_official_first_name": "MARTY",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "702-254-8858"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "greenvalley@bellachildrensdentalcare.com",
"affiliation": "N",
"endpointDescription": "HIPAA Compliant email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1909 N Green Valley Pkwy",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890748352",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Children's Dental Care at Green Valley",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.