Raincharlie Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

NV20111452524 Issued in NV

Legal business name

RAINCHARLIE DENTAL, LLC

Practice address

945 S Rainbow Blvd
Las Vegas, NV 89145-6230

Phone

(702) 331-8585

Fax

(702) 382-4469

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Benny Kohanteb

Title

Owner

Phone

(702) 435-5015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1679841258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "402-435-5015",
            "fax_number": "702-366-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456230",
            "telephone_number": "702-331-8585",
            "fax_number": "702-382-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINCHARLIE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-435-5015"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "NV20111452524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Home Health Inc
• Rainbow Massage LLC
• Rainbow Medical Group LLC
• Rainbow Morning Behavioral Health Services
• Rainbow Spa LLC
• Raines Chiropractic, PLLC
• Francis L Raines, D.C.
• Robin Raines
• Tara Crystal Raines, PHD
• Antoinette Denise Rainey, M.D.

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.