NPIMap

Organization Active NPI

Modern Dental Specialist, LLC

Doing business as Modern Dental Specialists

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1699556001
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MODERN DENTAL SPECIALIST, LLC
Doing business as
Modern Dental Specialists
Practice address
6965 S Rainbow Blvd Ste 140
Las Vegas, NV 89118-3280
Phone
(702) 200-9000
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Anastasia Savcic
Title
HR
Phone
(702) 449-2643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6965 S Rainbow Blvd Ste 140
Las Vegas, NV 89118-3280

Mailing address

4618 Meadows LN
Las Vegas, NV 89107-2956
Phone (702) 200-9000

Other names 1

  • Modern Dental Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Specialist LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1699556001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072956",
            "telephone_number": "702-200-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 S RAINBOW BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183280",
            "telephone_number": "702-200-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SAVCIC",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "702-449-2643"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dental Specialists",
            "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 Oct 11, 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.