Eddie Tai Endodontics Group LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-59 Issued in NV

Legal business name

EDDIE TAI ENDODONTICS GROUP LLC

Practice address

2301 E Lake Mead Blvd
North Las Vegas, NV 89030-7137

Phone

(702) 641-5888

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Tailung Tai, D.M.D

Title

Endodontist

Phone

(702) 683-6266

Specialties & licenses 1

Addresses

Other names 1

• Access Endodontics Doing business as

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1740433630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "702-683-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307137",
            "telephone_number": "702-641-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE TAI ENDODONTICS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "TAI",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "TAILUNG",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "702-683-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-59",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.