Elegant Smiles, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELEGANT SMILES, LLC

Practice address

6910 S Cimarron Rd Ste 200
Las Vegas, NV 89113-2135

Phone

(702) 805-4555

Fax

(702) 500-0416

NPI assigned

Oct 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Phi Phan, DDSNPI 1881003135

Title

Managing Member

Phone

(702) 805-4555

Specialties & licenses 1

Addresses

Other names 1

• Elegant Smiles Doing business as

Locations

Practitioners 2

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

• Phi Phan, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1881003135
  NPD Authorized official
• Eileen Huynh, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1649650037
  NPD

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1962978601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132280",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-21",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-805-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegant Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elegant Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Esther Eldridge
• Ana Mirabilia Ele
• Eleanor Health Professional TX, PLLC
• Electronic Tax Center
• Elegant Escape Hospiality, LLC
• Elements of Motivation
• Elements of Motivation LLC
• Elements of Motivation LLC
• Elements of Motivation LLC
• Elena B Garcia MD PC

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.