Organization Active NPI

Eric V. Lac DMD LTD

Doing business as SmileCity Henderson

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1568604023
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4563 Issued in NV
Legal business name
ERIC V. LAC DMD LTD
Doing business as
SmileCity Henderson
Practice address
40 N Valle Verde Dr
Ste 140
Henderson, NV 89074-1776
Phone
(702) 648-0011
Fax
(702) 364-0011
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Eric V Lac, D.M.D.
Title
Dentist
Phone
(702) 648-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4563 NV Primary

Addresses

Primary practice location

40 N Valle Verde Dr
Ste 140
Henderson, NV 89074-1776

Mailing address

192 Cliff Valley Dr
Las Vegas, NV 89148-2707
Phone (702) 648-0011

Other identifiers 1

IdentifierTypeStateIssuer
100513109MedicaidNV

Other names 1

  • SmileCity Henderson Doing business as

National Provider Directory

National Provider Directory

Locations

40 N Valle Verde Dr
Ste 140
Henderson, NV 89074
Phone (702) 648-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1568604023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CLIFF VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482707",
            "telephone_number": "702-648-0011",
            "fax_number": "702-364-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N VALLE VERDE DR",
            "address_2": "STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741776",
            "telephone_number": "702-648-0011",
            "fax_number": "702-364-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC V. LAC DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-648-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100513109",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileCity Henderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 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.