Organization Active NPI

Pure Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1609672765
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PURE ORTHODONTICS
Practice address
6710 S Fort Apache Rd # 101
Las Vegas, NV 89148-5394
Phone
(702) 254-4335
Fax
(702) 254-7995
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Douglas K. Simister, DDSNPI 1255347803
Title
Owner
Phone
(702) 254-4335

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6710 S Fort Apache Rd # 101
Las Vegas, NV 89148-5394

Mailing address

6710 S Fort Apache Rd # 101
Las Vegas, NV 89148-5394
Phone (702) 254-4335

Other practice location 1

9859 W Deer Springs Way Ste 150
Las Vegas, NV 89149-1448
Phone (702) 445-6555

National Provider Directory

National Provider Directory

Locations

6710 S Fort Apache Rd
#101
Las Vegas, NV 89148
Phone (702) 254-4335

9859 W Deer Springs Way
Ste 150
Las Vegas, NV 89149
Phone (702) 445-6555

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": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1609672765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 S FORT APACHE RD # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485394",
            "telephone_number": "702-254-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 S FORT APACHE RD # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485394",
            "telephone_number": "702-254-4335",
            "fax_number": "702-254-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9859 W Deer Springs Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891491448",
            "country_code": "US",
            "telephone_number": "702-445-6555",
            "fax_number": "702-852-0656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "SIMISTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-254-4335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2025; 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.