Organization Active NPI

Adaven Childrens Dentistry

  • Pediatric Dentistry
  • Henderson, NV
National Provider Identifier
1912924820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADAVEN CHILDRENS DENTISTRY
Practice address
1701 N Green Valley Parkway
#8E
Henderson, NV 89074
Phone
(702) 492-1955
Fax
(702) 492-7663
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Manny Rapp, DDSNPI 1962843961
Title
Owner Pereodontist
Phone
(702) 492-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1701 N Green Valley Parkway
#8E
Henderson, NV 89074

Mailing address

1701 N Green Valley Parkway
#8E
Henderson, NV 89074
Phone (702) 492-1955

National Provider Directory

National Provider Directory

Locations

1701 N Green Valley Pkwy
Ste 8E
Henderson, NV 89074
Phone (702) 492-1955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912924820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PARKWAY",
            "address_2": "#8E",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-492-1955",
            "fax_number": "702-492-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PARKWAY",
            "address_2": "#8E",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-492-1955",
            "fax_number": "702-492-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAVEN CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "OWNER PEREODONTIST",
        "authorized_official_telephone_number": "702-492-1955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.