Active NPI
Pristine Dental
- Dental Clinic/Center
- Las Vegas, NV
National Provider Identifier
1811748122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PRISTINE DENTAL
- Practice address
- 6925 S Buffalo Dr
St 160
Las Vegas, NV 89113 - Phone
- (702) 721-9698
- NPI assigned
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Jia Liang, DMD
- Title
- Dentist
- Phone
- (702) 885-6611
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
6925 S Buffalo Dr
St 160
Las Vegas, NV 89113
Mailing address
8612 Wind Rose CT
Las Vegas, NV 89139-6863
Phone (626) 363-5990
National Provider Directory
National Provider DirectoryLocations
6925 S Buffalo Dr
Ste 160
Las Vegas, NV 89113
Phone (702) 721-9698
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1134747298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1811748122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8612 WIND ROSE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396863",
"telephone_number": "626-363-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 S BUFFALO DR",
"address_2": "ST 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89113",
"telephone_number": "702-721-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISTINE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "LIANG",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "JIA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "702-885-6611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.