Organization Active NPI

MW Dental Prof. LLC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1962223784
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MW DENTAL PROF. LLC
Practice address
10010 W Cheyenne Ave Ste 140
Las Vegas, NV 89129-7714
Phone
(702) 227-4392
Fax
(702) 636-1688
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Michael Ray Wendelboe, DMDNPI 1689866766
Title
Managing Partner
Phone
(702) 860-5829

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10010 W Cheyenne Ave Ste 140
Las Vegas, NV 89129-7714

Mailing address

6825 Antler CT
Las Vegas, NV 89149-9602
Phone (702) 860-5829

National Provider Directory

National Provider Directory

Locations

10010 W Cheyenne Ave
Ste 140
Las Vegas, NV 89129
Phone (702) 227-4392

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": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1962223784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 ANTLER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891499602",
            "telephone_number": "702-860-5829",
            "fax_number": "702-636-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 W CHEYENNE AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297714",
            "telephone_number": "702-227-4392",
            "fax_number": "702-636-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW DENTAL PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "WENDELBOE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-860-5829",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Oct 23, 2024; 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.