SOUTHERN NEVADA SPECIALTY PRADA, PLLC (NPI# 1275998270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275998270 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEVADA SPECIALTY PRADA, PLLC |
| Other Organization Name | ABSOLUTE DENTAL & ORTHODONTICS |
| Practice Address |
8380 W Cheyenne Ave #104 Las Vegas NV 89129-8405 |
| Mailing Address |
2250 S Rancho Dr Suite 205 Las Vegas NV 89102-4451 |
| Practice Telephone | 7027330888 |
| Practice Fax Number | 7023958718 |
| Mailing Telephone | 7022912031 |
| Mailing Fax Number | 7029847566 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | PATRICIA PRADA (OWNER) |
| Authorized Official Telephone | 7022912031 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
S6-33C | NV | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S6-33C | NV | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
S6-33C | NV | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-33C | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1275998270 | 05 |
| Other Name | Type Code |
|---|---|
| Absolute Dental & Orthodontics | Doing Business As Name - Organization |
| Street Address |
8380 W CHEYENNE AVE #104 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689769390 | Michael A Alterman | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2006-10-04 |
| 1023494838 | Blue Dental, LLC | Dentist | 8380 W Cheyenne Ave, 102, Las Vegas, NV 89129-8405 | 2015-08-04 |
| 1336495837 | Sarah Kitchen | Dentist | 8380 W Cheyenne Ave, Ste. 102, Las Vegas, NV 89129-8405 | 2012-08-02 |
| 1497911564 | Christine Tolentino Navales | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2008-07-29 |
| 1649360306 | Patricia Prada | Dentist | 8380 W Cheyenne Ave, 104, Las Vegas, NV 89129-8405 | 2006-10-13 |
| 1225127004 | Absolute Dental, Inc | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2006-10-12 |
| 1972690030 | Artistic Orthodontics, Inc | Dentist | 8380 W Cheyenne Ave, 102, Las Vegas, NV 89129-8405 | 2006-10-09 |
| 1326135484 | Absolute Kids, Inc | Dentist | 8380 W Cheyenne Ave, 104, Las Vegas, NV 89129-8405 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089076 | Jens Wilson | Dentist | 101 Shadow Ln, Las Vegas, NV 89106-4301 | 2020-06-30 |
| 1942840723 | Bella Children's Dental Care LLC | Dentist | 560 N Nellis Blvd Ste E2, Las Vegas, NV 89110-5370 | 2020-01-09 |
| 1649760257 | Sorenson Pediatric Dentistry Pllc | Dentist | 5745 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5623 | 2018-05-18 |
| 1609377373 | H&b Pediatric Dentistry LLC | Dentist | 8520 Blue Diamond Rd Ste 130, Las Vegas, NV 89178-9297 | 2018-02-27 |
| 1528430790 | Absolute Dental & Orthodontics Prada, Pllc | Dentist | 8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175 | 2015-10-27 |
| 1083090864 | Chandler Hyer | Dentist | 712 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2015-08-04 |
| 1396125415 | Dawn Mcclellan, Dds, Ms, A Professional Corporation | Dentist | 3603 Las Vegas Blvd N Ste 120, Las Vegas, NV 89115-0591 | 2015-06-03 |
| 1942693403 | Lindsay Row | Dentist | 653 N Town Center Dr Ste 606, Las Vegas, NV 89144-0520 | 2015-03-09 |
| 1467842302 | Adventure Smiles | Dentist | 8995 W Flamingo Rd, Suite 100, Las Vegas, NV 89147-0441 | 2015-01-30 |
| 1740684430 | Waggoner & Associates PC | Dentist | 2381b Renaissance Dr, Las Vegas, NV 89119-6498 | 2014-10-09 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.