Organization Active NPI

Cutler Dental Care, PLLC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1992269179
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CUTLER DENTAL CARE, PLLC
Practice address
9690 W Tropicana Ave
Las Vegas, NV 89147-2601
Phone
(928) 277-6575
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Jerome C Cutler, DDSNPI 1659435857
Title
Dentist/Owner
Phone
(928) 830-0175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9690 W Tropicana Ave
Las Vegas, NV 89147-2601

Mailing address

Shadow Mountain Dental Group
6525 N. Decatur Blvd. Ste. 150
Las Vegas, NV 89131
Phone (702) 577-1941

Other names 2

  • Sahara Dental Summerlin Doing business as
  • Cutler Dental Care Other name

National Provider Directory

National Provider Directory

Locations

9690 W Tropicana Ave
Las Vegas, NV 89147
Phone (702) 410-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1992269179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHADOW MOUNTAIN DENTAL GROUP",
            "address_2": "6525 N. DECATUR BLVD. STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89131",
            "telephone_number": "702-577-1941",
            "fax_number": "702-395-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 W TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891472601",
            "telephone_number": "928-277-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTLER DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "928-830-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Dental Summerlin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cutler Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 8, 2019; 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.