Nevada TMJ Institute

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2679 Issued in NV

Legal business name

NEVADA TMJ INSTITUTE

Practice address

2650 Lake Sahara Dr
120
Las Vegas, NV 89117-3451

Phone

(702) 259-4865

Fax

(702) 243-7581

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark John Escoto, D.D.S.

Title

Dentist

Phone

(702) 259-4865

Specialties & licenses 1

Addresses

Other names 1

• A Beautiful Smile Other name

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1871639831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 LAKE SAHARA DR",
            "address_2": "120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173451",
            "telephone_number": "702-259-4865",
            "fax_number": "702-243-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 LAKE SAHARA DR",
            "address_2": "120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173451",
            "telephone_number": "702-259-4865",
            "fax_number": "702-243-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA TMJ INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-259-4865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Beautiful Smile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.