Organization Active NPI

Brian Bienstock PLLC

Doing business as Rancho Dental

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1972853109
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4549 Issued in NV
Legal business name
BRIAN BIENSTOCK PLLC
Doing business as
Rancho Dental
Practice address
1070 N. Rancho Dr.
Las Vegas, NV 89106
Phone
(702) 648-3701
Fax
(702) 453-6669
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIAN BIENSTOCK - PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Brian Scott Bienstock, DDS
Title
Dentist / Owner
Phone
(702) 281-8224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4549 NV Primary

Addresses

Primary practice location

1070 N. Rancho Dr.
Las Vegas, NV 89106

Mailing address

1070 N. Rancho Dr.
Las Vegas, NV 89106
Phone (702) 648-3701

Other names 1

  • Rancho Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Brian Bienstock PLLC

Locations

1070 N Rancho Dr
Las Vegas, NV 89106
Phone (702) 648-3701

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1972853109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N. RANCHO DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-648-3701",
            "fax_number": "702-453-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N. RANCHO DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-648-3701",
            "fax_number": "702-453-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BIENSTOCK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN BIENSTOCK - PLLC",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "702-281-8224",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Dental",
            "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 Sep 14, 2012; 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.