NPIMap

Organization Active NPI

Smile Enhancers Dental Inc.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1992010417
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4615 Issued in NV
Legal business name
SMILE ENHANCERS DENTAL INC.
Practice address
6080 S. Durango Dr. Ste 100
Smile Enhancers Dental Inc.
Las Vegas, NV 89113
Phone
(702) 410-9400
Fax
(702) 410-9402
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Glenda V Santos
Title
Office Manager
Phone
(702) 410-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4615 NV Primary

Addresses

Primary practice location

6080 S. Durango Dr. Ste 100
Smile Enhancers Dental Inc.
Las Vegas, NV 89113

Mailing address

6080 S. Durango Drive Ste 100
Las Vegas, NV 89113
Phone (702) 410-9400

National Provider Directory

National Provider Directory

Locations

6080 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 410-9400

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1992010417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S. DURANGO DRIVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-410-9400",
            "fax_number": "702-410-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S. DURANGO DR. STE 100",
            "address_2": "SMILE ENHANCERS DENTAL INC.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-410-9400",
            "fax_number": "702-410-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ENHANCERS DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-410-9400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2010; 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.