Luxe Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUXE DENTAL LLC

Practice address

2500 W Sahara Ave Ste 202
Las Vegas, NV 89102-4367

Phone

(702) 633-7500

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antoinette Broedel

Title

Credentialing Specialist

Phone

(702) 374-1616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1790326056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RAMROD AVE APT 2711",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142392",
            "telephone_number": "702-374-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SAHARA AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024367",
            "telephone_number": "702-633-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "BROEDEL",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-374-1616"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Luvin Almenares
• Berenice N/a Luvio
• Lux Community Services
• Lux Laboratories LLC
• Lux Medical Services
• Luxe Treatment Center LLC
• Andrew C Luxhoj, D.O.
• Luxottica of America Inc (Oakley A525)
• Luxottica of America Inc (Oakley C294)
• Luxottica of America Inc (Oakley B143)

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.