Organization Active NPI

New Image Dental of Nevada LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1700770476
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW IMAGE DENTAL OF NEVADA LLC
Practice address
3885 S Decatur Blvd Ste 1100
Las Vegas, NV 89103-5872
Phone
(702) 838-3311
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Beanca Jhanine Mulato Samiano, DMDNPI 1073398251
Title
Owner/Managing Member
Phone
(702) 985-7939

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 Primary

Addresses

Primary practice location

3885 S Decatur Blvd Ste 1100
Las Vegas, NV 89103-5872

Mailing address

2647 Infinity Bay CT
Las Vegas, NV 89146-5314
Phone (702) 985-7939

National Provider Directory

National Provider Directory

Locations

3885 S Decatur Blvd
Ste 1100
Las Vegas, NV 89103
Phone (702) 643-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1700770476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 INFINITY BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465314",
            "telephone_number": "702-985-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S DECATUR BLVD STE 1100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035872",
            "telephone_number": "702-838-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTAL OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SAMIANO",
        "authorized_official_first_name": "BEANCA JHANINE",
        "authorized_official_middle_name": "MULATO",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-985-7939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jun 5, 2025; 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.