NPIMap

Organization Active NPI

Southern Nevada General Dentistry Prada, PLLC

Doing business as Absolute Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1770948689
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NV20151700620 Issued in NV
Legal business name
SOUTHERN NEVADA GENERAL DENTISTRY PRADA, PLLC
Doing business as
Absolute Dental
Practice address
6490 S. McCarran Blvd. #17 & #18
Las Vegas, NV 89509
Phone
(775) 829-8901
NPI assigned
Dec 18, 2015
Organization subpart
Yes
Parent organization
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Patricia Prada, DDS
Title
Member
Phone
(775) 787-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NV20151700620 NV Primary

Addresses

Primary practice location

6490 S. McCarran Blvd. #17 & #18
Las Vegas, NV 89509

Mailing address

526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Phone (702) 435-5015

Other names 1

  • Absolute Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Absolute Dental Orthodontics Prada PLLC

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1770948689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-435-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD. #17 & #18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-829-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA GENERAL DENTISTRY PRADA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PRADA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-787-8900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "NV20151700620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental",
            "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 Dec 18, 2015; 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.