Organization Active NPI

Sue & Associates, PC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1710051982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUE & ASSOCIATES, PC
Practice address
2047 W Charleston Blvd
Suite 100
Las Vegas, NV 89102-2251
Phone
(702) 382-0380
Fax
(702) 383-0673
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elaine Salcido
Title
Contract Supervisor
Phone
(714) 708-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2047 W Charleston Blvd
Suite 100
Las Vegas, NV 89102-2251

Mailing address

2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308

Other names 1

  • Nevada Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2047 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 382-0380

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710051982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MACARTHUR PL",
            "address_2": "SUITE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075924",
            "telephone_number": "714-708-5308",
            "fax_number": "714-708-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W CHARLESTON BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022251",
            "telephone_number": "702-382-0380",
            "fax_number": "702-383-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALCIDO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CONTRACT SUPERVISOR",
        "authorized_official_telephone_number": "714-708-5308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dental Associates",
            "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 Aug 22, 2020; 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.