Organization Active NPI

Dental Implant Specialists of Nevada, Golpa PC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1720783277
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Mike GolpaNPI 1164609129
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.