NPIMap

Organization Active NPI

Mountain View Dental

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1881815355
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3697 Issued in NV
Legal business name
MOUNTAIN VIEW DENTAL
Practice address
3625 S Rainbow Blvd Ste 103
Las Vegas, NV 89103-1000
Phone
(702) 227-0085
Fax
(702) 227-9275
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Paul Hoang Phan, DDS
Title
President
Phone
(702) 227-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3697 NV Primary

Addresses

Primary practice location

3625 S Rainbow Blvd Ste 103
Las Vegas, NV 89103-1000

Mailing address

3625 S Rainbow Blvd Ste 103
Las Vegas, NV 89103-1000
Phone (702) 227-0085

National Provider Directory

National Provider Directory

Locations

3625 S Rainbow Blvd
Ste 103
Las Vegas, NV 89103
Phone (702) 227-0085

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1881815355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 S RAINBOW BLVD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031000",
            "telephone_number": "702-227-0085",
            "fax_number": "702-227-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 S RAINBOW BLVD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031000",
            "telephone_number": "702-227-0085",
            "fax_number": "702-227-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-227-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "3697",
            "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 Nov 8, 2016; 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.