GREATER LAS VEGAS (NPI# 1457726960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457726960 |
| Entity Type | Organization |
| Organization Name | GREATER LAS VEGAS |
| Practice Address |
8867 W Flamingo Rd Suite 100 Las Vegas NV 89147-8758 |
| Mailing Address |
8867 W. Flamingo Rd. Suite 100 Las Vegas NV 89147 |
| Practice Telephone | 7028805858 |
| Mailing Telephone | 7028805858 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | MRS. GRACE O MARQUEZ (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 7028805858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
S5 24 | NV | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER LAS VEGAS LNNER CITY GAMES | 8485 W Sunset Rd Ste 106, Las Vegas, NV 89113-2253 |
| Street Address |
8867 W FLAMINGO RD SUITE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154470292 | Evangeline Chen | Dentist | 8867 W Flamingo Rd, Ste. 100, Las Vegas, NV 89147-8726 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619345840 | Joshua Renk | Dentist | 851 S Rampart Blvd Ste 250, Las Vegas, NV 89145-4888 | 2015-09-03 |
| 1306943469 | Brock Alan Satoris | Dentist | 4492 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-09-20 |
| 1679588115 | Lyle Scott Brooksby | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2006-07-31 |
| 1730181850 | Nelson D Lasiter | Dentist | 2255 Renaissance Dr, Ste B, Las Vegas, NV 89119-6167 | 2005-06-01 |
| 1881967628 | Johnson Implant Dentisrty Associates | Dentist | 6460 Medical Center St, Suite 300, Las Vegas, NV 89148-2406 | 2012-02-09 |
| 1891944781 | Marco Tulio Padilla | Dentist | 1811 South Rainbow Blvd, Suite 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
| 1457496077 | The Dental Implant Source | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2007-02-21 |
| 1235249822 | Kiki S Dounis | Dentist | 901 Rancho Ln, 270, Las Vegas, NV 89106-3836 | 2006-08-30 |
| 1417932831 | Gary A Braun | Dentist | 4700 Las Vegas Blvd North, Suite 2419, Las Vegas, NV 89191-6601 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932645827 | Tiffany Kafei Lee | Dentist | 2345 E Centennial Pkwy Ste 110, North Las Vegas, NV 89081-5605 | 2017-01-16 |
| 1801911474 | Robert Howard Ahlstrom | Dentist | 3701 Baker Ln Ste 2, Reno, NV 89509-5441 | 2007-03-20 |
| 1508178633 | Craig Andresen | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2010-07-06 |
| 1386639607 | John A Thomas | Dentist | 4700 Las Vegas Blvd N, Suite 2419, Bldg 1300, Nellis Afb, NV 89191-6600 | 2005-09-13 |
Please comment or provide details below to improve the information on GREATER LAS VEGAS.
| 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.