Lone Mountain Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2791 Issued in NV

Legal business name

LONE MOUNTAIN DENTAL, LLC

Practice address

4818 W Lone Mountain Rd
Las Vegas, NV 89130-2239

Phone

(702) 655-9533

Fax

(702) 655-9565

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Barry Kennedy, DDS

Title

Owner

Phone

(702) 655-9533

Specialties & licenses 1

Addresses

Other names 1

• Barry A. Kennedy, DDS Other name

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649493164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-655-9533",
            "fax_number": "702-655-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-655-9533",
            "fax_number": "702-655-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE MOUNTAIN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-655-9533",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry A. Kennedy, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lona Enterprises Inc. (Hacienda Hill Manor)
• Jessica Londakos
• Sabrina Londo
• London Family and Children's Services
• Yasmine London
• Lone Mountain Family Dental
• Lone Mountain Medical Centre (Goldsmith Healthcare, LTD)
• Unhoe Ku Lonero
• Puanani Elisha Lonetti
• Long Kevin Diep, Odpc

• 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 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.