Organization Active NPI

Tara Erson, DMD, PC

Doing business as Smart Mouth

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1578956629
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6293 Issued in NV
Legal business name
TARA ERSON, DMD, PC
Doing business as
Smart Mouth
Practice address
6348 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3237
Phone
(702) 518-3368
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dr. Tara Erson, DMDNPI 1588096416
Title
President
Phone
(702) 480-8678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6293 NV Primary

Addresses

Primary practice location

6348 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3237

Mailing address

6348 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3237
Phone (702) 518-3368

Other names 1

  • Smart Mouth Doing business as

National Provider Directory

National Provider Directory

Locations

6348 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 518-3368

Practitioners & affiliated clinicians

Practitioners 1

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": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1578956629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183237",
            "telephone_number": "702-518-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183237",
            "telephone_number": "702-518-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA ERSON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ERSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-480-8678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "6293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Mouth",
            "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 Jul 29, 2020; 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.