Organization Active NPI

Red Rock Dental LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1861400079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4098 Issued in NV
Legal business name
RED ROCK DENTAL LLC
Practice address
900 S Pavilion Center Dr
Suite 185
Las Vegas, NV 89144-4581
Phone
(702) 243-8788
Fax
(702) 243-5785
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Allen Madsen, D.D.S.
Title
Dentist/Owner
Phone
(702) 243-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4098 NV Primary

Addresses

Primary practice location

900 S Pavilion Center Dr
Suite 185
Las Vegas, NV 89144-4581

Mailing address

900 S Pavilion Center Dr
Suite 185
Las Vegas, NV 89144-4581
Phone (702) 243-8788

National Provider Directory

National Provider Directory

Locations

900 S Pavilion Center Dr
Ste 185
Las Vegas, NV 89144
Phone (702) 243-8788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861400079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PAVILION CENTER DR",
            "address_2": "SUITE 185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444581",
            "telephone_number": "702-243-8788",
            "fax_number": "702-243-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S PAVILION CENTER DR",
            "address_2": "SUITE 185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444581",
            "telephone_number": "702-243-8788",
            "fax_number": "702-243-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "702-243-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.