Carla Cordova DMD MSD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CARLA CORDOVA DMD MSD LLC

Practice address

3603 Las Vegas Blvd N Ste 120
Las Vegas, NV 89115-0588

Phone

(702) 545-0055

Fax

(702) 254-9462

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Carla Lalande, DMD

Title

Member

Phone

(702) 254-8858

Specialties & licenses 1

Addresses

Other names 1

• Thunderbird Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Joseph Lee, DMD

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1619626793
  NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1780219287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N BUFFALO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297462",
            "telephone_number": "702-254-8858",
            "fax_number": "702-254-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 LAS VEGAS BLVD N STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150588",
            "telephone_number": "702-545-0055",
            "fax_number": "702-254-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA CORDOVA DMD MSD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "LALANDE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-254-8858",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thunderbirddental.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "3603 Las Vegas Blvd N Ste 120",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891150588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thunderbird Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooklynn Carithers
• Carl Demardrian Virgil MD PC Mountain Anesthesia Counsultants
• Carl N Williams Jr MD CHTD
• Kirsten Carl
• Carla Blair Wellness LLC
• Carla Lalande DMD MSD PC
• Marilyn Carle
• Jordan Carley, APRN, PMHNP-BC
• Shawn M Carlgren
• Jill Carlile

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.