NPIMap

Organization Active NPI

Weiss Dental & Orthodontics Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1891026951
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4547 Issued in NV
Legal business name
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Practice address
69 N Nellis Blvd
Las Vegas, NV 89110-5330
Phone
(702) 453-7200
Fax
(702) 438-4637
NPI assigned
Jan 28, 2010
Organization subpart
Yes
Parent organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Terri Gardiner
Title
Credentialing Coordinator
Phone
(407) 772-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4547 NV Primary

Addresses

Primary practice location

69 N Nellis Blvd
Las Vegas, NV 89110-5330

Mailing address

926 Great Pond Dr Ste 2003
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124

Other names 1

  • Courtesy Dental & Orthodontics - Charleston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Weiss Dental Orthodontics Professional Corporation7 organizations share this tax ID, including this one
Part of
Weiss Dental Orthodontics Professional Corporation

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

926 Great Pond Dr
Ste 2003
Altamonte Springs, FL 32714
Phone (407) 788-6533

69 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 453-7200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1891026951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2003",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244",
            "telephone_number": "407-772-5124",
            "fax_number": "407-788-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105330",
            "telephone_number": "702-453-7200",
            "fax_number": "702-438-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION",
        "enumeration_date": "2010-01-28",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "407-772-5124"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtesy Dental & Orthodontics - Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2011; 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.