Valley Pediatric Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S697 Issued in NV

Legal business name

VALLEY PEDIATRIC DENTAL

Practice address

350 Falcon Ridge Pkwy
Building #200 Ste#101
Mesquite, NV 89027-8878

Phone

(888) 963-9601

Fax

(888) 963-9601

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Haley A Macias

Title

Office Manager

Phone

(888) 963-9601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1851798581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY",
            "address_2": "BUILDING #200 STE#101",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278878",
            "telephone_number": "888-963-9601",
            "fax_number": "888-963-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY",
            "address_2": "BUILDING #200 STE#101",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278878",
            "telephone_number": "888-963-9601",
            "fax_number": "888-963-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "888-963-9601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Turner
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• Virgin Valley Dental
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• Pediatric Dentistry in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.