Individual provider Active NPI

Diana Xa, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1770663452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4644 Issued in NV
Practice address
6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436
Phone
(702) 893-2288
Fax
(702) 893-2033
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4644 NV Primary

Addresses

Primary practice location

6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436

Mailing address

6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436
Phone (702) 893-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4644NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trung Xa DDS and Diana Xa DDS, a Professional Corporation General Practice Past Accepting new patients
Xa D.D.S., a Professional Corporation General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770663452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N DURANGO DR STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494436",
            "telephone_number": "702-893-2288",
            "fax_number": "702-893-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 N DURANGO DR STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494436",
            "telephone_number": "702-893-2288",
            "fax_number": "702-893-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4644",
            "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 Jul 8, 2007; 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.