Organization Active NPI

NV Dental Partners LLC

Doing business as The Kids Dentist of Henderson

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1962969626
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NV DENTAL PARTNERS LLC
Doing business as
The Kids Dentist of Henderson
The Kids Dentist of Las Vegas
Wirig Shaw Orthodontics
Practice address
375 N Stephanie St Ste 211
Henderson, NV 89014-8773
Phone
(702) 454-1008
Fax
(702) 454-1009
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Matthew Wirig, DMDNPI 1003083940
Title
Manager
Phone
(702) 454-1008

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

375 N Stephanie St Ste 211
Henderson, NV 89014-8773

Mailing address

375 N Stephanie St Ste 211
Henderson, NV 89014-8773
Phone (702) 454-1008

Other practice location 1

4610 Meadows Ln Ste A
Las Vegas, NV 89107-2965
Phone (702) 454-1008

Other names 3

  • The Kids Dentist of Henderson Doing business as
  • The Kids Dentist of Las Vegas Doing business as
  • Wirig Shaw Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

375 N Stephanie St
Ste 211
Henderson, NV 89014
Phone (702) 454-1008

Practitioners & affiliated clinicians

Practitioners 1

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1962969626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148773",
            "telephone_number": "702-454-1008",
            "fax_number": "702-454-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148773",
            "telephone_number": "702-454-1008",
            "fax_number": "702-454-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 Meadows Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072965",
            "country_code": "US",
            "telephone_number": "702-454-1008",
            "fax_number": "702-454-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NV DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "WIRIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-454-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kids Dentist of Henderson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Kids Dentist of Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wirig Shaw Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.