NPIMap

Organization Active NPI

Michael G. Logelin, DDS, PC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1942445036
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3481 Issued in NV
Legal business name
MICHAEL G. LOGELIN, DDS, PC
Practice address
7603 Belmont Hills Ave
Las Vegas, NV 89131-1721
Phone
(702) 889-6308
Fax
(702) 889-6308
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Michael Gregory Logelin, DDS
Title
Ceo
Phone
(702) 889-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3481 NV Primary

Addresses

Primary practice location

7603 Belmont Hills Ave
Las Vegas, NV 89131-1721

Mailing address

7603 Belmont Hills Ave
Las Vegas, NV 89131-1721
Phone (702) 889-6308

Other identifiers 1

IdentifierTypeStateIssuer
00220771MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1942445036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 BELMONT HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311721",
            "telephone_number": "702-889-6308",
            "fax_number": "702-889-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 BELMONT HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311721",
            "telephone_number": "702-889-6308",
            "fax_number": "702-889-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. LOGELIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "LOGELIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-889-6308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220771",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2008; 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.