NPIMap

Organization Active NPI

KTS Enterprise

Doing business as Wonderful Smiles Dental

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1730311796
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4603 Issued in NV
Legal business name
KTS ENTERPRISE
Doing business as
Wonderful Smiles Dental
Practice address
7211 S Eastern Ave
Ste 110
Las Vegas, NV 89119-4574
Phone
(702) 737-1221
Fax
(702) 617-3594
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Khanh NguyenNPI 1831146372
Title
Office Manager
Phone
(702) 457-5335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4603 NV Primary

Addresses

Primary practice location

7211 S Eastern Ave
Ste 110
Las Vegas, NV 89119-4574

Mailing address

2755 S Nellis Blvd
Ste 12
Las Vegas, NV 89121-7549
Phone (702) 457-5335

Other names 1

  • Wonderful Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7211 S Eastern Ave
Ste 110
Las Vegas, NV 89119
Phone (702) 737-1221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1730311796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S NELLIS BLVD",
            "address_2": "STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217549",
            "telephone_number": "702-457-5335",
            "fax_number": "702-457-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 S EASTERN AVE",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194574",
            "telephone_number": "702-737-1221",
            "fax_number": "702-617-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-457-5335",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderful Smiles Dental",
            "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 Dec 26, 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.