Abc Dental Care PLLC

Key facts

NPI

1679289201

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

ABC DENTAL CARE PLLC

Practice address

7219 W Sahara Ave
Las Vegas, NV 89117-2870

Phone

(402) 650-4126

NPI assigned

Jan 26, 2023

Organization subpart

No

Authorized official

Name

Dr. John Walker, DDS NPI 1629486170

Title

Doctor Owner

Phone

(402) 650-4126

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

Practitioners 1

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

• John David Walker, DDS Dentist · Zuni, NM · NPI 1629486170
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• John Walker Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 26, 2023.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1679289201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PANINI DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523143",
            "telephone_number": "402-650-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172870",
            "telephone_number": "402-650-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "402-650-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Walker",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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