Organization Active NPI

North Vegas Dental

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1922618909
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTH VEGAS DENTAL
Practice address
1631 W Craig Rd Ste 10
North Las Vegas, NV 89032-0227
Phone
(702) 649-6644
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Maurice Vargas, DDSNPI 1265562847
Title
Owner/Provider
Phone
(702) 779-9320

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1631 W Craig Rd Ste 10
North Las Vegas, NV 89032-0227

Mailing address

1631 W Craig Rd Ste 10
North Las Vegas, NV 89032-0227
Phone (702) 649-6644

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL northvegasdental.com Direct

National Provider Directory

National Provider Directory

Locations

1631 W Craig Rd
Ste 10
North Las Vegas, NV 89032
Phone (702) 649-6644

Practitioners & affiliated clinicians

Practitioners 3

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": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1922618909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 W CRAIG RD STE 10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320227",
            "telephone_number": "702-649-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W CRAIG RD STE 10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320227",
            "telephone_number": "702-649-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VEGAS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "702-779-9320",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northvegasdental.com",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "address",
            "address_1": "1631 W Craig Rd Ste 10",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890320227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.