Organization Active NPI

New Smile Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1740333251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4176T Issued in NV
Legal business name
NEW SMILE DENTAL
Practice address
5915 S Eastern Ave
Ste 112
Las Vegas, NV 89119
Phone
(702) 433-3300
Fax
(702) 433-3322
NPI assigned
Jan 19, 2007
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
Mr. Jonah Van
Title
Office Manager
Phone
(702) 433-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4176T NV Primary

Addresses

Primary practice location

5915 S Eastern Ave
Ste 112
Las Vegas, NV 89119

Mailing address

3125 E Tropicana Ave
Ste C
Las Vegas, NV 89121-7356
Phone (702) 433-3300

National Provider Directory

National Provider Directory

Locations

3125 E Tropicana Ave
Ste C
Las Vegas, NV 89121
Phone (702) 433-3300

5915 S Eastern Ave
Ste 112
Las Vegas, NV 89119
Phone (702) 433-3300

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740333251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E TROPICANA AVE",
            "address_2": "STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217356",
            "telephone_number": "702-433-3300",
            "fax_number": "702-433-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S EASTERN AVE",
            "address_2": "STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-433-3300",
            "fax_number": "702-433-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-433-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4176T",
            "primary": true
        }
    ],
    "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 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.