NPIMap

Organization Active NPI

Bella Children'S Dental Care LLC

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1942840723
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BELLA CHILDREN'S DENTAL CARE LLC
Practice address
560 N Nellis Blvd Ste E2
Las Vegas, NV 89110-5370
Phone
(702) 254-8858
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Carla Cordova, DMD MSD
Title
Member
Phone
(702) 254-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

560 N Nellis Blvd Ste E2
Las Vegas, NV 89110-5370

Mailing address

3600 N Buffalo Dr Ste 110
Las Vegas, NV 89129-7462
Phone (702) 254-8858

National Provider Directory

National Provider Directory
Tax ID family
Bella Children'S Dental Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1942840723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N BUFFALO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297462",
            "telephone_number": "702-254-8858",
            "fax_number": "702-254-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N NELLIS BLVD STE E2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105370",
            "telephone_number": "702-254-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA CHILDREN'S DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-254-8858",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 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.