Organization Active NPI

Sweet Smiles LLC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1619606605
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SWEET SMILES LLC
Practice address
8275 S Eastern Ave Ste 101
Las Vegas, NV 89123-2543
Phone
(303) 877-9007
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Yi Cong, DDSNPI 1780359000
Title
Owner
Phone
(303) 877-9007

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8275 S Eastern Ave Ste 101
Las Vegas, NV 89123-2543

Mailing address

751 Lieber Way
Henderson, NV 89052-8741
Phone (303) 877-9007

National Provider Directory

National Provider Directory

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": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1619606605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LIEBER WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528741",
            "telephone_number": "303-877-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232543",
            "telephone_number": "303-877-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "CONG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-877-9007",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Jun 6, 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.