Tri State Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRI STATE DENTAL

Practice address

450 E Silverado Ranch Blvd Ste 105
Las Vegas, NV 89183-6204

Phone

(702) 263-8820

Fax

(702) 914-8121

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian D Nguyen, DMDNPI 1477640290

Title

Owner

Phone

(702) 417-1589

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, and the practitioner matching its NPPES authorized official.

• Brian Dzung Nguyen, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1477640290
  NPD (past) Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1578153276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E SILVERADO RANCH BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836204",
            "telephone_number": "702-263-8820",
            "fax_number": "702-914-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SILVERADO RANCH BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836204",
            "telephone_number": "702-263-8820",
            "fax_number": "702-914-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2020-11-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-417-1589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morayma Trevizo
• Jane Chie Trevorah, APRN
• Jacqueline Trexler
• Tri Cities Care 2 LLC
• Tri City Medical Associates PC
• Tri Truong, MD
• Tri-Care Rehabilitation Center LLC
• Tri-Star Primary Care LLC (Tri-Star Primary Care)
• Yosehine Triana Gomez
• Mario Triana-Herrera

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.