NPIMap

Organization Active NPI

Nevada Dental Professional, Quirt, Gates, PC

Doing business as Galleria Dental

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1821014382
Registry record updated Nov 25, 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
Galleria Dental
Practice address
1399 Galleria Drive
Suite 200
Henderson, NV 89014-6664
Phone
(702) 433-0007
Fax
(702) 435-4618
NPI assigned
Jul 15, 2006
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,PAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Kim Zuber
Title
Cred Sup.
Phone
(217) 540-5170

Specialties & licenses 1

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

Addresses

Primary practice location

1399 Galleria Drive
Suite 200
Henderson, NV 89014-6664

Mailing address

1399 Galleria Drive
Suite 200
Henderson, NV 89014-6664
Phone (702) 433-0007

Other names 1

  • Galleria 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

1399 Galleria Dr
Ste 200
Henderson, NV 89014
Phone (702) 433-0007

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1821014382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DRIVE",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146664",
            "telephone_number": "702-433-0007",
            "fax_number": "702-435-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DRIVE",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146664",
            "telephone_number": "702-433-0007",
            "fax_number": "702-435-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTAL PROFESSIONAL, QUIRT, GATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,P",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "ZUBER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED SUP.",
        "authorized_official_telephone_number": "217-540-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.