NPIMap

Organization Active NPI

Dental Hispana LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1821745092
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HISPANA LLC
Practice address
4800 Alpine PL Ste 1
Las Vegas, NV 89107-4085
Phone
(702) 870-6362
Fax
(702) 870-6399
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Luisa L Perez, DDSNPI 1538392683
Title
Dentist
Phone
(702) 870-6362

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4800 Alpine PL Ste 1
Las Vegas, NV 89107-4085

Mailing address

4800 Alpine PL Ste 1
Las Vegas, NV 89107-4085
Phone (702) 870-6362

National Provider Directory

National Provider Directory

Locations

4800 Alpine Pl
Ste 1
Las Vegas, NV 89107
Phone (702) 870-6362

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": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1821745092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ALPINE PL STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074085",
            "telephone_number": "702-870-6362",
            "fax_number": "702-870-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ALPINE PL STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074085",
            "telephone_number": "702-870-6362",
            "fax_number": "702-870-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HISPANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-870-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 7, 2022; 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.