Organization Active NPI

H&B Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1609377373
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-107 Issued in NV
Legal business name
H&B PEDIATRIC DENTISTRY LLC
Practice address
8520 Blue Diamond Rd Ste 130
Las Vegas, NV 89178-9297
Phone
(702) 496-6777
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Todd James Baggaley, DMDNPI 1831347384
Title
Managing Member
Phone
(702) 496-6777

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X S6-107 NV Primary

Addresses

Primary practice location

8520 Blue Diamond Rd Ste 130
Las Vegas, NV 89178-9297

Mailing address

5705 Centennial Center Blvd Ste 140
Las Vegas, NV 89149-7129
Phone (702) 496-6777

Other names 1

  • Mountain's Edge Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8520 Blue Diamond Rd
Ste 130
Las Vegas, NV 89178
Phone (702) 496-6777

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1609377373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 CENTENNIAL CENTER BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497129",
            "telephone_number": "702-496-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 BLUE DIAMOND RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789297",
            "telephone_number": "702-496-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&B PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "BAGGALEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-496-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain's Edge Pediatric Dentistry",
            "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 Feb 27, 2018; 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.