NPIMap

Organization Active NPI

Boca Park Dental Inc

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1679599138
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOCA PARK DENTAL INC
Practice address
1000 S Rampart Blvd
Ste 13
Las Vegas, NV 89145-8531
Phone
(702) 240-6200
Fax
(702) 952-8118
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Amy Turner
Title
Office Manager
Phone
(702) 240-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1000 S Rampart Blvd
Ste 13
Las Vegas, NV 89145-8531

Mailing address

1000 S Rampart Blvd
Ste 13
Las Vegas, NV 89145-8531
Phone (702) 240-6200

National Provider Directory

National Provider Directory

Locations

1000 S Rampart Blvd
Ste 13
Las Vegas, NV 89145
Phone (702) 240-6200

Practitioners & affiliated clinicians

Practitioners 2

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1679599138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S RAMPART BLVD",
            "address_2": "STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458531",
            "telephone_number": "702-240-6200",
            "fax_number": "702-952-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S RAMPART BLVD",
            "address_2": "STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458531",
            "telephone_number": "702-240-6200",
            "fax_number": "702-952-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA PARK DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-240-6200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 2010; 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.