Organization Active NPI

Matthew J Wilson Inspire Dental LLC

Doing business as Inspire Dental of Summerlin

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1922778505
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MATTHEW J WILSON INSPIRE DENTAL LLC
Doing business as
Inspire Dental of Summerlin
Practice address
2095 Village Center Cir Ste 120
Las Vegas, NV 89134-6253
Phone
(702) 309-0909
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Matthew J Wilson, DDSNPI 1528291945
Title
MBR
Phone
(702) 309-0909

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2095 Village Center Cir Ste 120
Las Vegas, NV 89134-6253

Mailing address

2095 Village Center Cir Ste 120
Las Vegas, NV 89134-6253
Phone (702) 309-0909

Other names 1

  • INSPIRE DENTAL OF SUMMERLIN Doing business as

National Provider Directory

National Provider Directory

Locations

2095 Village Center Cir
Ste 120
Las Vegas, NV 89134
Phone (702) 331-4700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1922778505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 VILLAGE CENTER CIR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346253",
            "telephone_number": "702-309-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 VILLAGE CENTER CIR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346253",
            "telephone_number": "702-309-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J WILSON INSPIRE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "702-309-0909",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSPIRE DENTAL OF SUMMERLIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.