NPIMap

Organization Active NPI

Paradise Dental Clinic

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1891085684
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PARADISE DENTAL CLINIC
Practice address
1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone
(702) 272-1100
Fax
(702) 998-0675
NPI assigned
Apr 13, 2011
Organization subpart
Yes
Parent organization
CHILDREN'S CARE INTERNATIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mrs. Elizabeth Razo, ADMINISTRATION
Title
Office Manager
Phone
(702) 272-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150

Mailing address

1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 272-1100

National Provider Directory

National Provider Directory
Tax ID family
Paradise Dental Clinic3 organizations share this tax ID, including this one
Part of
Paradise Dental Clinic

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1891085684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-272-1100",
            "fax_number": "702-998-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-272-1100",
            "fax_number": "702-998-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S CARE INTERNATIONAL",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "RAZO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-272-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATION"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 13, 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.