Organization Active NPI

Highlands Family Dental

  • General Practice Dentistry
  • Las Vegas, NM
National Provider Identifier
1942508643
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3409 Issued in NM
Legal business name
HIGHLANDS FAMILY DENTAL
Practice address
711 6TH St
Las Vegas, NM 87701-4352
Phone
(505) 425-7574
Fax
(505) 425-7554
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Elyssa J Hoopes, DMDNPI 1750695003
Title
Dentist
Phone
(505) 425-7574

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 DD3409 NM Primary

Addresses

Primary practice location

711 6TH St
Las Vegas, NM 87701-4352

Mailing address

711 6TH St
Las Vegas, NM 87701-4352
Phone (505) 425-7574

National Provider Directory

National Provider Directory

Locations

711 6th St
Las Vegas, NM 87701
Phone (505) 425-7574

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1942508643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 6TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014352",
            "telephone_number": "505-425-7574",
            "fax_number": "505-425-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 6TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014352",
            "telephone_number": "505-425-7574",
            "fax_number": "505-425-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "HOOPES",
        "authorized_official_first_name": "ELYSSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-425-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.