Vista Smile LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3-82C Issued in NV

Legal business name

VISTA SMILE LLC

Doing business as

Affordable Braces

Practice address

2600 S Rainbow Blvd
101
Las Vegas, NV 89146

Phone

(702) 733-7645

Fax

(702) 823-0410

NPI assigned

Nov 13, 2013

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roland Pischinger

Title

Insurance Department Manager

Phone

(702) 522-2028

Specialties & licenses 1

Addresses

Other names 1

• Affordable Braces Doing business as

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1760812622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S JONES BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463133",
            "telephone_number": "702-522-2269",
            "fax_number": "702-990-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-733-7645",
            "fax_number": "702-823-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "PISCHINGER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "702-522-2028"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-82C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Melanie Bormate Vismanos, APRN
• Vilma S Visorde, PCA
• Harriet Visperas
• Daniel S Visser, PA-C
• Vista Medical Associates LLC
• Vistas Hospice and Palliative Care Inc
• Vistech Optical
• Sahityan Viswanathan, M.D.
• Vita Care Hospice, Inc
• Vita Heaven Urgent Care

• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.