Piyevsky Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3344 Issued in NV

Legal business name

PIYEVSKY PROFESSIONAL DENTAL CORPORATION

Doing business as

Lake Mead Dental

Practice address

7481 W Lake Mead Blvd
Ste. 100
Las Vegas, NV 89128-0285

Phone

(702) 304-1234

Fax

(702) 304-9499

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ellen Piyevsky, D.D.S.

Title

President

Phone

(702) 304-1234

Specialties & licenses 1

Addresses

Other names 1

• Lake Mead Dental Doing business as

Locations

Practitioners 1

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

• Yelena Piyevsky, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1417171943
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801919113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 W LAKE MEAD BLVD",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280285",
            "telephone_number": "702-304-1234",
            "fax_number": "702-304-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W LAKE MEAD BLVD",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280285",
            "telephone_number": "702-304-1234",
            "fax_number": "702-304-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIYEVSKY PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIYEVSKY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-304-1234",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mead Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessalyn Pitz
• Autasia Piula
• Pivot Behavioral Health Services
• Pivot Behavioral Health Services LLC
• Filomena Pixler
• Irina Piyevsky
• Yelena Piyevsky, D.D.S.
• Socrates Felipe Piza Bernal, P.A.
• Melissa Piza
• Marichu Pizan, NP

• 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 Aug 22, 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.