NPIMap

Organization Active NPI

Da One Group

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1649883786
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DA ONE GROUP
Doing business as
CHOICE DENTAL
Practice address
9850 S Maryland Pkwy Ste 3
Las Vegas, NV 89183-7148
Phone
(702) 503-7673
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Yoonji An, DMDNPI 1063888279
Title
Owner
Phone
(702) 503-8683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9850 S Maryland Pkwy Ste 3
Las Vegas, NV 89183-7148

Mailing address

833 Lord Crewe St
Las Vegas, NV 89138-6035
Phone (702) 503-8683

Other names 1

  • CHOICE DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1649883786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LORD CREWE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386035",
            "telephone_number": "702-503-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 S MARYLAND PKWY STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837148",
            "telephone_number": "702-503-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA ONE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "YOONJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-503-8683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 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.