Johnson Implant Dentisrty Associates

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2000203290 Issued in NV

Legal business name

JOHNSON IMPLANT DENTISRTY ASSOCIATES

Doing business as

ClearChoice Dental Implant Center

Practice address

6460 Medical Center St
Suite 300
Las Vegas, NV 89148-2406

Phone

(702) 739-6452

Fax

(702) 739-6654

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aristides A Tsikoudakis, DMD

Title

Maxillofacial Prosthodontist

Phone

(702) 739-6452

Specialties & licenses 1

Addresses

Other names 1

• ClearChoice Dental Implant Center Doing business as

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1881967628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482406",
            "telephone_number": "702-739-6452",
            "fax_number": "702-739-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482406",
            "telephone_number": "702-739-6452",
            "fax_number": "702-739-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON IMPLANT DENTISRTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "TSIKOUDAKIS",
        "authorized_official_first_name": "ARISTIDES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MAXILLOFACIAL PROSTHODONTIST",
        "authorized_official_telephone_number": "702-739-6452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NV",
            "license": "2000203290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearChoice Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vince A Johns
• David A Johnsen
• Sade Johnso0N
• Johnson & Ballner LLC (Quiet River Psychiatry)
• Johnson Health Solutions, PLLC
• Patrick Johnson Jr
• Johnson N Johnson's Mobile Phlebotomy
• Stephanie Johnson OD, P.C.
• Aaliyah N Johnson Walls, RBT
• Johnson Wellness Centers Inc (Spine Wellness Center of Southern Nevada)

• Prosthodontics in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Prosthodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.