One Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ONE DENTAL GROUP LLC

Doing business as

Paradise Village Dental Center
Pure Dental

Practice address

4250 S Rainbow Blvd Ste 1004
Las Vegas, NV 89103-3134

Phone

(702) 456-4600

NPI assigned

Sep 12, 2021

Organization subpart

No

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

Authorized official

Name

Irene Han, DMDNPI 1639569064

Title

General Dentist

Phone

(702) 401-9955

Specialties & licenses 1

Addresses

Other names 2

• Paradise Village Dental Center Doing business as
• Pure Dental 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.

• Irene Han, D.M.D.

  • Dentist
  • Las Vegas, NV
  • NPI 1639569064
  NPD Authorized official
• Trang Nguyen, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1902970775
  NPD (past)

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1982373957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 HUSHED SONNET AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440558",
            "telephone_number": "702-401-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD STE 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033134",
            "telephone_number": "702-456-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 E Saint Louis Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891042509",
            "country_code": "US",
            "telephone_number": "702-735-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "702-401-9955",
        "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": "Paradise Village Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• One for All LLC
• One for All NV
• One Hundred Percent Well LLC
• One Hundred Percent Well LLC
• One in a Million Health Care LL C

• 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 12, 2021; 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.