John Alexander
Individual provider Active NPI Dental Hygienist · Las Vegas, NV
NPI 1679920185 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679920185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 5030 Phantom Jet Ave # 6201
Las Vegas, NV 89110-2465 - Phone
- (702) 272-6094
- NPI assigned
- May 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NV | Yes |
Addresses
Primary practice location
5030 Phantom Jet Ave # 6201
Las Vegas, NV 89110-2465
Mailing address
5030 Phantom Jet Ave # 6201
Las Vegas, NV 89110-2465
Phone (702) 272-6094
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.