Organization Active NPI

Wow Dental Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1780305680
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WOW DENTAL ORTHODONTICS
Practice address
10830 W Charleston Blvd
Las Vegas, NV 89135-1193
Phone
(702) 268-7132
Fax
(725) 201-0469
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Chun-Yu Yogi Chen, DMD
Title
Chairman
Phone
(702) 268-7132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10830 W Charleston Blvd
Las Vegas, NV 89135-1193

Mailing address

2028 Glenview Dr
Las Vegas, NV 89134-6114
Phone (702) 268-7132

National Provider Directory

National Provider Directory

Locations

10830 W Charleston Blvd
Las Vegas, NV 89135
Phone (702) 268-7132

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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1780305680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 GLENVIEW DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346114",
            "telephone_number": "702-268-7132",
            "fax_number": "725-201-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351193",
            "telephone_number": "702-268-7132",
            "fax_number": "725-201-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOW DENTAL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHUN-YU YOGI",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "702-268-7132",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Sep 8, 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.