NPIMap

Organization Active NPI

Vegas Pediatric Partners

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1942945340
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
VEGAS PEDIATRIC PARTNERS
Practice address
5642 S Eastern Ave Ste F
Las Vegas, NV 89119-2310
Phone
(702) 508-0755
Fax
(702) 659-7116
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Diana J Cazzaly
Title
Regional Office Manager
Phone
(702) 456-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5642 S Eastern Ave Ste F
Las Vegas, NV 89119-2310

Mailing address

5642 S Eastern Ave Ste F
Las Vegas, NV 89119-2310
Phone (702) 508-0755

Other names 1

  • Boca Kids Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boca Kids Dentistry2 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": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1942945340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-508-0755",
            "fax_number": "702-659-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-508-0755",
            "fax_number": "702-659-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS PEDIATRIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "CAZZALY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANAGER",
        "authorized_official_telephone_number": "702-456-0005"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Kids Dentistry",
            "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 Apr 29, 2022; 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.