NPIMap

Organization Active NPI

Nevada Dental Professional, Quirt, Kruyer, P.C.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1689970576
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Doing business as
Elan Dental
Practice address
2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458
Phone
(702) 228-7575
Fax
(702) 240-6373
NPI assigned
Feb 10, 2011
Organization subpart
Yes
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Carmen Woods
Title
Insurance Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458

Mailing address

2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458
Phone (702) 228-7575

Other names 1

  • Elan Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Professional Quirt Gatespc22 organizations share this tax ID, including this one
Part of
Nevada Dental Professional Quirt Gatespc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1689970576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280458",
            "telephone_number": "702-228-7575",
            "fax_number": "702-240-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280458",
            "telephone_number": "702-228-7575",
            "fax_number": "702-240-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.",
        "enumeration_date": "2011-02-10",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elan Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elan Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 2022; 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.