Organization Active NPI

Warm Springs Dental Office Inc

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1710258116
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
WARM SPRINGS DENTAL OFFICE INC
Practice address
770 E Warm Springs Rd Ste 220
Las Vegas, NV 89119-4347
Phone
(702) 690-4487
Fax
(702) 690-4486
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mrs. Glenda S Yabut
Title
Office Manager
Phone
(702) 690-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

770 E Warm Springs Rd Ste 220
Las Vegas, NV 89119-4347

Mailing address

770 E. Warm Springs Rd.
Ste# 220
Las Vegas, NV 89119-4347
Phone (702) 690-4487

Other identifiers 1

IdentifierTypeStateIssuer
DENTALOtherNVDENTAL

National Provider Directory

National Provider Directory

Locations

770 E Warm Springs Rd
Ste 220
Las Vegas, NV 89119
Phone (702) 837-8977

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1710258116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E. WARM SPRINGS RD.",
            "address_2": "STE# 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194347",
            "telephone_number": "702-690-4487",
            "fax_number": "702-690-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E WARM SPRINGS RD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194347",
            "telephone_number": "702-690-4487",
            "fax_number": "702-690-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARM SPRINGS DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "YABUT",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-690-4487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "DENTAL",
            "state": "NV"
        }
    ],
    "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 Jan 18, 2012; 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.