NPIMap

Organization Active NPI

Nevada Dental Professional, Quirt, Gates,PC

Doing business as Town Center Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1811212509
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, GATES,PC
Doing business as
Town Center Dental
Practice address
8504 Del Webb Blvd
Las Vegas, NV 89134-8676
Phone
(702) 360-8696
NPI assigned
Apr 6, 2010
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, GATES,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Carmen Woods
Title
Insurance Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8504 Del Webb Blvd
Las Vegas, NV 89134-8676

Mailing address

8504 Del Webb Blvd
Las Vegas, NV 89134-8676

Other names 1

  • Town Center Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Dental Professional Quirt Gates PC23 organizations share this tax ID, including this one
Part of
Nevada Dental Professional Quirt Gates PC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

8504 Del Webb Blvd
Las Vegas, NV 89134
Phone (702) 360-8696

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1811212509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348676",
            "telephone_number": "702-360-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, GATES,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, GATES,PC",
        "enumeration_date": "2010-04-06",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center 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 Nov 5, 2015; 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.