NPIMap

Organization Active NPI

Watanabe Spring Valley Dentist Office, PC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1770950909
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATANABE SPRING VALLEY DENTIST OFFICE, PC
Practice address
6160 W Tropicana Ave
E-1
Las Vegas, NV 89103-4493
Phone
(702) 858-9466
Fax
(702) 247-1412
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Lynda C Watanabe, DDS
Title
DDS/Owner
Phone
(702) 858-9466

Specialties & licenses 1

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

Addresses

Primary practice location

6160 W Tropicana Ave
E-1
Las Vegas, NV 89103-4493

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Spring Valley Dentist Office Doing business as

National Provider Directory

National Provider Directory

Locations

6160 W Tropicana Ave
Ste E1
Las Vegas, NV 89103
Phone (702) 517-5873

Practitioners & affiliated clinicians

Practitioners 4

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": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1770950909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 W TROPICANA AVE",
            "address_2": "E-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034493",
            "telephone_number": "702-858-9466",
            "fax_number": "702-247-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATANABE SPRING VALLEY DENTIST OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "702-858-9466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Spring Valley Dentist Office",
            "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 Aug 24, 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.