NPIMap

Organization Active NPI

Board of Regents, Nevada System of Higher Education

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1851699516
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
Practice address
1700 W. Charleston Blvd.
Building a
Las Vegas, NV 89102-2351
Phone
(702) 774-2545
Fax
(702) 774-2499
NPI assigned
Mar 4, 2011
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Mrs. Laurie Ann Evans, MBA
Title
Director of Clinical SVCS.
Phone
(207) 774-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1700 W. Charleston Blvd.
Building a
Las Vegas, NV 89102-2351

Mailing address

1001 Shadow LN
Ms 7413
Las Vegas, NV 89106-4124
Phone (702) 774-2400

Other names 1

  • UNLV Pediatric Community Outreach Other name

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents Nevada26 organizations share this tax ID, including this one
Part of
Board of Regents Nevada

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1851699516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SHADOW LN",
            "address_2": "MS 7413",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064124",
            "telephone_number": "702-774-2400",
            "fax_number": "702-774-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W. CHARLESTON BLVD.",
            "address_2": "BUILDING A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-774-2545",
            "fax_number": "702-774-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION",
        "enumeration_date": "2011-03-04",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SVCS.",
        "authorized_official_telephone_number": "207-774-2819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNLV Pediatric Community Outreach",
            "code": "5",
            "type": "Other 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 Mar 27, 2014; 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.