Drive Inn Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DRIVE INN DENTAL LLC

Doing business as

Drive Inn Dental

Practice address

4506 W Charleston Blvd
Las Vegas, NV 89102-1502

Phone

(702) 286-3721

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 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

Douglas Kern, DMD

Title

Owner

Phone

(702) 286-3721

Specialties & licenses 1

Addresses

Other names 1

• Drive Inn Dental Doing business as

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1639777311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021502",
            "telephone_number": "702-286-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVE INN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-286-3721",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drive Inn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubrie Anne Driscoll
• Brian James Driscoll, LAT, ATC
• Robert Scott Driscoll, MSW
• Shayne Matthew Driscoll
• Beverly A Driskill, APN
• Drive Swirl LLC
• Kimberly Ann Driver
• McKynzie Driver
• Driversity
• Valerie Drnovsek, MD

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.