Organization Active NPI

Harmon and Otteson Dental Management LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1649043001
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARMON AND OTTESON DENTAL MANAGEMENT LLC
Practice address
5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986
Phone
(702) 641-8868
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Kendra Ebert
Title
Coo
Phone
(765) 669-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986

Mailing address

1050 E Flamingo Rd Ste N147
Las Vegas, NV 89119-7427
Phone (765) 669-1254

Other practice location 1

5205 S Durango Dr Ste 103
Las Vegas, NV 89113-0179
Phone (765) 669-1254

National Provider Directory

National Provider Directory

Locations

1050 E Flamingo Rd
Ste N147
Las Vegas, NV 89119

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1649043001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E FLAMINGO RD STE N147",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197427",
            "telephone_number": "765-669-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 E SAHARA AVE STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422986",
            "telephone_number": "702-641-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 S Durango Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891130179",
            "country_code": "US",
            "telephone_number": "765-669-1254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARMON AND OTTESON DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "765-669-1254"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "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 Nov 6, 2023; 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.