NPIMap

Organization Active NPI

Trylovich, Gifford, LTD.

  • Periodontics
  • Las Vegas, NV
National Provider Identifier
1619028800
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2707 Issued in NV
Legal business name
TRYLOVICH, GIFFORD, LTD.
Practice address
3811 W Charleston Blvd
#201
Las Vegas, NV 89102-1846
Phone
(702) 259-1943
Fax
(702) 877-2727
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Dr. David James Trylovich, D.D.S., M.S.NPI 1396906863
Title
Owner
Phone
(702) 259-1943

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2707 NV Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2635 NV
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 5103 NV
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 6507 NV

Addresses

Primary practice location

3811 W Charleston Blvd
#201
Las Vegas, NV 89102-1846

Mailing address

3811 W Charleston Blvd
#201
Las Vegas, NV 89102-1846
Phone (702) 259-1943

National Provider Directory

National Provider Directory

Locations

3811 W Charleston Blvd
Ste 201
Las Vegas, NV 89102
Phone (702) 259-1943

Practitioners & affiliated clinicians

Practitioners 4

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1619028800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 W CHARLESTON BLVD",
            "address_2": "#201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021846",
            "telephone_number": "702-259-1943",
            "fax_number": "702-877-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W CHARLESTON BLVD",
            "address_2": "#201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021846",
            "telephone_number": "702-259-1943",
            "fax_number": "702-877-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRYLOVICH, GIFFORD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "TRYLOVICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-259-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "2707",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "2635",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "5103",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "6507",
            "primary": false
        }
    ],
    "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 Jul 10, 2014; 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.