Nevada Orthodontic Care, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4332 Issued in NV

Legal business name

NEVADA ORTHODONTIC CARE, LLC

Doing business as

Nevada Orthodontic Care

Practice address

2600 S Rainbow Blvd
101
Las Vegas, NV 89146-4006

Phone

(702) 733-7645

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Randle, DDSNPI 1518053412

Title

Doctor

Phone

(801) 541-9504

Specialties & licenses 1

Addresses

Other names 1

• Nevada Orthodontic Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Randle, DMD

  • Dentist
  • Salt Lake City, UT
  • NPI 1518053412
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629164769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464006",
            "telephone_number": "702-733-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464006",
            "telephone_number": "702-733-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ORTHODONTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-541-9504",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Orthodontic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• 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.