NPIMap

Organization Active NPI

Alex Song DDS Apc

Doing business as A1 Dental Care

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1982798732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALEX SONG DDS APC
Doing business as
A1 Dental Care
Practice address
7780 S Jones Blvd #101
Las Vegas, NV 89139
Phone
(702) 450-6060
Fax
(702) 871-7272
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Traci Ngoc Doan, DDSNPI 1568669018
Title
Dentist
Phone
(702) 450-6060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

7780 S Jones Blvd #101
Las Vegas, NV 89139

Mailing address

7780 S Jones Blvd #101
Las Vegas, NV 89139
Phone (702) 450-6060

Other names 1

  • A1 Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

7780 S Jones Blvd
Ste 101
Las Vegas, NV 89139
Phone (702) 450-6060

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982798732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S JONES BLVD #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-450-6060",
            "fax_number": "702-871-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S JONES BLVD #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-450-6060",
            "fax_number": "702-871-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SONG DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-450-6060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 Dental Care",
            "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 Aug 22, 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.