NPIMap

Organization Active NPI

Green Valley Dentistry

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1619585353
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREEN VALLEY DENTISTRY
Practice address
11 S Stephanie St Ste 100
Henderson, NV 89012-6034
Phone
(702) 456-7818
Fax
(702) 456-1264
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Authorized official

Name
Dr. Zachary Dan Soard, DMD
Title
President
Phone
(702) 456-7818

Specialties & licenses 1

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

Addresses

Primary practice location

11 S Stephanie St Ste 100
Henderson, NV 89012-6034

Mailing address

11 S Stephanie St Ste 100
Henderson, NV 89012-6034
Phone (702) 456-7818

National Provider Directory

National Provider Directory

Locations

11 S Stephanie St
Ste 100
Henderson, NV 89012
Phone (702) 456-7818

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1619585353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S STEPHANIE ST STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126034",
            "telephone_number": "702-456-7818",
            "fax_number": "702-456-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S STEPHANIE ST STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126034",
            "telephone_number": "702-456-7818",
            "fax_number": "702-456-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "SOARD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.