Dilettante Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

4348 Issued in NV

Legal business name

DILETTANTE INC.

Practice address

5465 Simmons St
Suite 4
North Las Vegas, NV 89031-9000

Phone

(702) 638-1005

Fax

(702) 638-1071

NPI assigned

Jul 26, 2010

Organization subpart

Yes

Parent organization

RANDY HONGAs reported in NPPES

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

Authorized official

Name

Pamela K Propster

Title

Office Manager

Phone

(702) 638-1005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avalon Dental Doing business as

Part of

Dilettante Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles V Buchanan, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1407429889
  NPD (past)
• Randy Hong, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1275697302
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1760795256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SIMMONS ST",
            "address_2": "SUITE 4",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319000",
            "telephone_number": "702-638-1005",
            "fax_number": "702-638-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SIMMONS ST",
            "address_2": "SUITE 4",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319000",
            "telephone_number": "702-638-1005",
            "fax_number": "702-638-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILETTANTE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDY HONG",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "PROPSTER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-638-1005"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510098",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skye Milery Diggs
• Dignity Disability Solutions, LLC
• Dignity Select Nevada LLC
• Dignity Select Nevada LLC
• Dignity Select Nevada, LLC
• Brittney Dillingham
• Sabrina Dillingham
• Lindsey Dillon
• Neo Aldrin Dimalaluan
• Unknown Dimawi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.