Smile Care Specialty Southern Nevada LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-83 Issued in NV

Legal business name

SMILE CARE SPECIALTY SOUTHERN NEVADA LLC

Practice address

6386 W Sahara Ave
# 6388
Las Vegas, NV 89146-3050

Phone

(702) 228-7200

Fax

(702) 889-7200

NPI assigned

Feb 14, 2017

Last updated

Feb 14, 2017By 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

Brad Radlosky

Title

Owner

Phone

(702) 228-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1609315472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 W SAHARA AVE",
            "address_2": "# 6388",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463050",
            "telephone_number": "702-228-7200",
            "fax_number": "702-889-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 W SAHARA AVE",
            "address_2": "# 6388",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463050",
            "telephone_number": "702-228-7200",
            "fax_number": "702-889-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CARE SPECIALTY SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "RADLOSKY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-228-7200"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smi Imaging LLC (Simonmed Imaging Spring Valley)
• Smi Imaging LLC (Simonmed Imaging)
• Matthew Smiciklas
• Khalil Sadiki Smickle
• Smile Care Southern Nevada, LLC
• Smile Dental, LLC (Smile Dental)
• Smile Enhancers Dental Inc.
• Smile Home Health LLC
• Smile Oasis PLLC
• Smiles Today Dental Group, LLC

• Endodontics in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.