Organization Active NPI

Vegas Choice Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1831905116
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VEGAS CHOICE DENTAL
Practice address
2801 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1965
Phone
(702) 877-6608
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Isabella Balle
Title
Office Manager
Phone
(702) 877-6608

Specialties & licenses 1

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

Addresses

Primary practice location

2801 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1965

Mailing address

2801 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1965
Phone (702) 877-6608

Other names 2

  • Vegas Choice Dental Doing business as
  • Peter S Balle DDS LTD Former legal business name

National Provider Directory

National Provider Directory

Locations

2801 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 877-6608

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": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1831905116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021965",
            "telephone_number": "702-877-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021965",
            "telephone_number": "702-877-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS CHOICE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "BALLE",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-877-6608"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Choice Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peter S Balle DDS LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 10, 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.

Verify at the official NPI Registry.