Organization Active NPI

Endodontic Associatesllc

  • Endodontics
  • Las Vegas, NV
National Provider Identifier
1679639710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
S7-24 Issued in NV
Legal business name
ENDODONTIC ASSOCIATESLLC
Practice address
851 S Rampart Blvd
Suite # 120
Las Vegas, NV 89145-4882
Phone
(702) 869-8840
Fax
(702) 240-0481
NPI assigned
Dec 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas R Rakich, DDS
Title
Manager
Phone
(702) 869-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X S7-24 NV Primary

Addresses

Primary practice location

851 S Rampart Blvd
Suite # 120
Las Vegas, NV 89145-4882

Mailing address

851 S Rampart Blvd
Suite # 120
Las Vegas, NV 89145-4882
Phone (702) 869-8840

National Provider Directory

National Provider Directory

Locations

851 S Rampart Blvd
Ste 120
Las Vegas, NV 89145
Phone (702) 562-9024

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679639710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD",
            "address_2": "SUITE # 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454882",
            "telephone_number": "702-869-8840",
            "fax_number": "702-240-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD",
            "address_2": "SUITE # 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454882",
            "telephone_number": "702-869-8840",
            "fax_number": "702-240-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAKICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-869-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-24",
            "primary": true
        }
    ],
    "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 Aug 22, 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.