NPIMap

Organization Active NPI

Amertina Dental Group and Orthodontics

Doing business as Nevada Dentistry & Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1972045300
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-275 Issued in NV
Legal business name
AMERTINA DENTAL GROUP AND ORTHODONTICS
Doing business as
Nevada Dentistry & Braces
Practice address
4492 S Pecos Rd
Las Vegas, NV 89121-5030
Phone
(702) 602-2300
Fax
(702) 899-0499
NPI assigned
Nov 16, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Arash Bakhaj, DDSNPI 1851649768
Title
Owner
Phone
(702) 602-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X S3-275 NV
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X S3-275 NV
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X S3-275 NV
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X S3-275 NV Primary

Addresses

Primary practice location

4492 S Pecos Rd
Las Vegas, NV 89121-5030

Mailing address

4492 S Pecos Rd
Las Vegas, NV 89121-5030
Phone (702) 602-2300

Other names 1

  • Nevada Dentistry & Braces Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1972045300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215030",
            "telephone_number": "702-602-2300",
            "fax_number": "702-899-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215030",
            "telephone_number": "702-602-2300",
            "fax_number": "702-899-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERTINA DENTAL GROUP AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "BAKHAJ",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-602-2300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "S3-275",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S3-275",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S3-275",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dentistry & Braces",
            "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 29, 2016; 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.