Ideal Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDEAL DENTAL LLC

Practice address

2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576

Phone

(702) 998-9848

NPI assigned

Oct 3, 2023

Last updated

Oct 3, 2023By 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

Abril Perez-Loyo

Title

Managing Member

Phone

(702) 266-3390

Specialties & licenses 1

Addresses

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.

• Abril Perez

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1003536657
  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1659151066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 S MARYLAND PKWY STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091576",
            "telephone_number": "702-998-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ-LOYO",
        "authorized_official_first_name": "ABRIL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-266-3390"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Toshinari Ichinoe, DO
• Denice Marie Ichinoe, DO
• Icon Cosmetic Center LLC
• Icon Medical LLC
• Ideal Care Health Services LLC
• Ideal Healthcare LLC
• Ideal Home Health Inc
• Ideal Staffing Inc
• Idealstaffing Inc
• Idealstaffing Inc

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.