Organization Active NPI

Teladentist PC Inc

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1689101750
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5053 Issued in NV
Legal business name
TELADENTIST PC INC
Practice address
6127 S Rainbow Blvd Ste 100
Las Vegas, NV 89118
Phone
(888) 588-3394
NPI assigned
May 19, 2017
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Dr. Vilas Sastry, DMDNPI 1104921279
Title
Owner
Phone
(888) 588-3394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5053 NV Primary

Addresses

Primary practice location

6127 S Rainbow Blvd Ste 100
Las Vegas, NV 89118

Mailing address

9030 W Sahara Ave # 699
Las Vegas, NV 89117-5744
Phone (888) 588-3394

Other practice location 1

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (888) 588-3394

Other practice location 2

4720 Salisbury Rd
Jacksonville, FL 32256-6101
Phone (888) 588-3394

National Provider Directory

National Provider Directory

Locations

6127 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 793-2182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1689101750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W SAHARA AVE # 699",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175744",
            "telephone_number": "888-588-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "888-588-3394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "888-588-3394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Salisbury Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566101",
            "country_code": "US",
            "telephone_number": "888-588-3394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELADENTIST PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "SASTRY",
        "authorized_official_first_name": "VILAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-588-3394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "5053",
            "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 Dec 28, 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.