Pdca Sahara LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PDCA SAHARA LLC

Practice address

8981 W Sahara Ave Ste 110
Las Vegas, NV 89117-5894

Phone

(702) 254-4220

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Carla Lalande Cordova, DMD MSD

Title

Managing Member

Phone

(702) 254-8858

Specialties & licenses 1

Addresses

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": "1679353049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N BUFFALO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297462",
            "telephone_number": "702-254-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175894",
            "telephone_number": "702-254-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDCA SAHARA 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": "LALANDE CORDOVA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-254-8858",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.