Organization Active NPI

Harmon and Otteson Dental LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1790448199
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARMON AND OTTESON DENTAL LLC
Practice address
5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986
Phone
(702) 641-8868
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Kendra Marie Ebert
Title
Office Manager
Phone
(765) 669-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986

Mailing address

5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986
Phone (702) 641-8868

Other names 1

  • Neighborhood Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5061 E Sahara Ave
Ste 1A
Las Vegas, NV 89142
Phone (702) 641-8868

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1790448199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 E SAHARA AVE STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422986",
            "telephone_number": "702-641-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 E SAHARA AVE STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422986",
            "telephone_number": "702-641-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON AND OTTESON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-669-1254"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood 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 Aug 31, 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.