Individual provider Active NPI

Jay Thomas Denton, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1831487701
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6285 Issued in NV
Practice address
7425 W Azure Dr Ste 110
Las Vegas, NV 89130-4425
Phone
(702) 878-4397
Fax
(702) 425-9948
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6285 NV Primary

Addresses

Primary practice location

7425 W Azure Dr Ste 110
Las Vegas, NV 89130-4425

Mailing address

7425 W Azure Dr Ste 110
Las Vegas, NV 89130-4425
Phone (702) 878-4397

Other practice location 1

4610 Meadows Ln
Ste B
Las Vegas, NV 89107-2927
Phone (702) 878-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214002573 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709187883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Branham Dental LLC General Practice PastSince Dec 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1831487701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425",
            "telephone_number": "702-878-4397",
            "fax_number": "702-425-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425",
            "telephone_number": "702-878-4397",
            "fax_number": "702-425-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 Meadows Ln",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072927",
            "country_code": "US",
            "telephone_number": "702-878-7700",
            "fax_number": "702-878-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "JAY",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.