Axiom Dentistry, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AXIOM DENTISTRY, LLC

Practice address

410 S Rampart Blvd Ste 360
Las Vegas, NV 89145-5730

Phone

(702) 228-2218

Fax

(702) 228-7411

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Beatriz Hernandez

Title

Supervisor

Phone

(714) 578-6591

Specialties & licenses 1

Addresses

Other names 1

• Axiom West Other name

Tax ID family

Axiom Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Axiom Dentistry, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1063061976
  NPD tax ID

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1922657808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 W CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "714-578-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 360",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455730",
            "telephone_number": "702-228-2218",
            "fax_number": "702-228-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-578-6591"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Florence Awuah
• Levon Axajanian
• Anngie May Axalan, PT
• Jami Marie Axelson, LSW
• Axiom Dentistry, LLC
• Axiom Imaging of Las Vegas LLC
• Axis Healthcare Clinics
• Axispoint Medical, LLC
• Axispoint Medical, LLC
• Anas Jamal Ayaash

• All providers in Las Vegas, NV
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.