Active NPI
Dental Implant Specialists of Nevada, Golpa PC
- Dentist
- Las Vegas, NV
National Provider Identifier
1720783277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL IMPLANT SPECIALISTS OF NEVADA, GOLPA PC
- Practice address
- 6420 Medical Center St Ste 101
Las Vegas, NV 89148-2402 - Phone
- (702) 641-7111
- NPI assigned
- Apr 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Golpa
- Title
- Owner Dentist
- Phone
- (702) 768-7840
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 1223G0001X | |||
| Prosthodontics | 1223P0700X |
Addresses
Primary practice location
6420 Medical Center St Ste 101
Las Vegas, NV 89148-2402
Mailing address
3500 Maple Ave Ste 1600
Dallas, TX 75219-3936
Phone (909) 732-0191
National Provider Directory
National Provider DirectoryLocations
6420 Medical Center St
Ste 101
Las Vegas, NV 89148
Phone (702) 641-7111
3500 Maple Ave
Ste 1600
Dallas, TX 75219
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Las Vegas, NV
- NPI 1164609129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1720783277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 MAPLE AVE STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193936",
"telephone_number": "909-732-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 MEDICAL CENTER ST STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482402",
"telephone_number": "702-641-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL IMPLANT SPECIALISTS OF NEVADA, GOLPA PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "GOLPA",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "702-768-7840"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 6, 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.