Hillside Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HILLSIDE DENTAL LTD

Practice address

6090 S. Fort Apache
Ste 120 Hillside Dental
Las Vegas, NV 89148

Phone

(702) 895-7799

Fax

(702) 895-7192

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Wagner

Title

Ceo

Phone

(702) 895-7799

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jinhee Choi

  • Dentist
  • Las Vegas, NV
  • NPI 1548935281
  NPD
• Christopher Ang Lim, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1346266350
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1962260034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 S. FORT APACHE",
            "address_2": "STE 120 HILLSIDE DENTAL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-895-7799",
            "fax_number": "702-895-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 S. FORT APACHE",
            "address_2": "STE 120 HILLSIDE DENTAL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-895-7799",
            "fax_number": "702-895-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-895-7799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lou Johnson Hillock, R.N.F.A.
• Ronald W. Hillock, M.D.
• Charles Hills
• Loletha Tierra Hills
• Yaru Hills
• Hillstone Therapeutic Team of Nevada
• Zechariah Aloysius Hillyard, MED, BAHS
• Eric D Hilmes, PA-C
• Sharon Hilt
• Treshire Sade Hilt

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.