Beltway Dental Partners

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BELTWAY DENTAL PARTNERS

Doing business as

Boca Dental and Braces

Practice address

9210 S Eastern Ave Ste 130
Las Vegas, NV 89123-4834

Phone

(702) 522-1929

Fax

(702) 475-6504

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wyatt S Dannels, DDSNPI 1578997862

Title

Owner

Phone

(480) 209-5722

Specialties & licenses 1

Addresses

Other names 1

• Boca Dental and Braces Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wyatt S Dannels, DDS

  • Dentist
  • Gilbert, AZ
  • NPI 1578997862
  Authorized official Same address or phone

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1891386462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023559",
            "telephone_number": "702-522-1929",
            "fax_number": "702-475-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S EASTERN AVE STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234834",
            "telephone_number": "702-522-1929",
            "fax_number": "702-475-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTWAY DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "DANNELS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-209-5722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beltway@bocadentalandbraces.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9210 S Eastern Ave Ste 130",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891234834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boca Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Beltran, NP-C
• Ruth Rosaura Beltran
• Vittorio Beltran, DPT
• Yaimiris Beltran
• Edwin Beltre
• Beluga Health KS LLC
• Denise Y Belva, MS, NCC, LPC
• Johanna Belyeu
• Richana Bembridge
• Donald Bemis

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.