NPIMap

Organization Active NPI

Scott Mohlman DDS PC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1629120720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2859 Issued in NV
Legal business name
SCOTT MOHLMAN DDS PC
Practice address
3200 Soaring Gulls Dr
#101
Las Vegas, NV 89129-2198
Phone
(702) 655-1611
Fax
(702) 655-1994
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott R. Mohlman, DDS
Title
President
Phone
(702) 655-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2859 NV Primary

Addresses

Primary practice location

3200 Soaring Gulls Dr
#101
Las Vegas, NV 89129-2198

Mailing address

3200 Soaring Gulls Dr
#101
Las Vegas, NV 89129-2198
Phone (702) 655-1611

National Provider Directory

National Provider Directory

Locations

3200 Soaring Gulls Dr
Ste 101
Las Vegas, NV 89129
Phone (702) 655-1611

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629120720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DR",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-655-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DR",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-655-1611",
            "fax_number": "702-655-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MOHLMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHLMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-655-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2859",
            "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 Aug 22, 2020; 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.