Organization Active NPI

Tender Dental Mead, LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1760912745
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TENDER DENTAL MEAD, LLC
Doing business as
Las Vegas Oral Surgery
Practice address
7670 W Lake Mead Blvd Ste 130
Las Vegas, NV 89128-6651
Phone
(702) 312-2273
NPI assigned
Jun 13, 2017
Organization subpart
Yes
Parent organization
TENDER DENTAL MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Michael Lawrence ShermanNPI 1245323559
Title
Clinical Director
Phone
(631) 806-1275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7670 W Lake Mead Blvd Ste 130
Las Vegas, NV 89128-6651

Mailing address

7670 W Lake Mead Blvd
Las Vegas, NV 89128-6649
Phone (702) 312-2273

Other names 1

  • Las Vegas Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Part of
Tender Dental Management LLC

Locations

7670 W Lake Mead Blvd
Las Vegas, NV 89128

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1760912745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286649",
            "telephone_number": "702-312-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286651",
            "telephone_number": "702-312-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER DENTAL MEAD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENDER DENTAL MANAGEMENT, LLC",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-806-1275",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Oral Surgery",
            "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 Feb 4, 2022; 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.