NPIMap

Organization Active NPI

Nicholas a Maffeo DMD, PLLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1962831420
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5638,890,774,2513 Issued in NV
Legal business name
NICHOLAS A MAFFEO DMD, PLLC
Practice address
2701 W Charleston Blvd
Las Vegas, NV 89102-2154
Phone
(702) 870-5165
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Nicholas Anthony Maffeo, DMDNPI 1619155207
Title
Owner/Manager/Dentist
Phone
(702) 870-5165

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 5638,890,774,2513 NV Primary

Addresses

Primary practice location

2701 W Charleston Blvd
Las Vegas, NV 89102-2154

Mailing address

2701 W Charleston Blvd
Las Vegas, NV 89102-2154
Phone (702) 870-5165

Other names 1

  • Las Vegas Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2701 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 870-5165

Practitioners & affiliated clinicians

Practitioners 4

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1962831420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022154",
            "telephone_number": "702-870-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022154",
            "telephone_number": "702-870-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A MAFFEO DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "MAFFEO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/MANAGER/DENTIST",
        "authorized_official_telephone_number": "702-870-5165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5638,890,774,2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Dental Group",
            "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 Nov 5, 2013; 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.