NPIMap

Organization Active NPI

Xa D.D.S., a Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1801939608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4623 Issued in NV
Legal business name
XA D.D.S., A PROFESSIONAL CORPORATION
Practice address
10217 W Charleston Blvd
Suite B
Las Vegas, NV 89135-1021
Phone
(702) 456-6678
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Trung Q Xa, DDSNPI 1801827605
Title
Dentist
Phone
(702) 456-6678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4623 NV Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4644 NV

Addresses

Primary practice location

10217 W Charleston Blvd
Suite B
Las Vegas, NV 89135-1021

Mailing address

6720 N Durango Dr
Suite 260
Las Vegas, NV 89149-4434
Phone (702) 893-2288

Other names 1

  • Star Brite Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10217 W Charleston Blvd
Ste B
Las Vegas, NV 89135
Phone (702) 456-6678

Practitioners & affiliated clinicians

Practitioners 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801939608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N DURANGO DR",
            "address_2": "SUITE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494434",
            "telephone_number": "702-893-2288",
            "fax_number": "702-893-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 W CHARLESTON BLVD",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351021",
            "telephone_number": "702-456-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XA D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XA",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-456-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4623",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Brite 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 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.