NPIMap

Organization Active NPI

Vegas Pediatric Partners

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1831858653
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VEGAS PEDIATRIC PARTNERS
Practice address
240 N Jones Blvd Ste C
Las Vegas, NV 89107-1450
Phone
(702) 508-0755
Fax
(702) 659-7116
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Diana J Cazzaly
Title
Regional Director
Phone
(702) 882-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

240 N Jones Blvd Ste C
Las Vegas, NV 89107-1450

Mailing address

240 N Jones Blvd Ste C
Las Vegas, NV 89107-1450
Phone (702) 508-0755

Other names 1

  • Vegas Pediatric Partners Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kids@bocadentalandbraces.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Boca Kids Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

240 N Jones Blvd
Ste C
Las Vegas, NV 89107
Phone (702) 508-0755

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1831858653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071450",
            "telephone_number": "702-508-0755",
            "fax_number": "702-659-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071450",
            "telephone_number": "702-508-0755",
            "fax_number": "702-659-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS PEDIATRIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "CAZZALY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "702-882-9895"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kids@bocadentalandbraces.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "240 N Jones Blvd Ste C",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891071450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vegas Pediatric Partners",
            "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 Dec 8, 2021; 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.