CANYON DENTAL IMPLANT CENTER LLC (NPI# 1073052072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073052072 |
Entity Type | Organization |
Organization Name | CANYON DENTAL IMPLANT CENTER LLC |
Other Organization Name | CANYON DENTAL IMPLANTS & DENTURES |
Practice Address |
3635 S Town Center Dr Las Vegas NV 89135-3017 |
Mailing Address |
6200 N Durango Dr Ste 100 Las Vegas NV 89149-3916 |
Practice Telephone | 7026605576 |
Practice Fax Number | 7026605590 |
Mailing Telephone | 7026605574 |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |
Authorized Official Name | DR. JESSE FALK (MEMBER) |
Authorized Official Telephone | 7026605574 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Canyon Dental Implants & Dentures | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396284386 | Canyon Dental Implant Center LLC | Clinic/Center | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149-3916 | 2017-02-23 |
Street Address |
3635 S TOWN CENTER DR |
City | LAS VEGAS |
State | NV |
Zip Code | 89135-3017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
Find all providers in zip 89135 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
1164050365 | Monica Ponce, Dds, A Professional Corporation | Clinic/Center | 9450 West Russell Road Suite 102, Las Vegas, NV 89148-8914 | 2020-04-01 |
1659903946 | Suzan Fu Dds Ltd A Nevada Corp | Clinic/Center | 1958 Village Center Cir Ste 4, Las Vegas, NV 89134-6240 | 2020-02-05 |
1477183101 | Ameritina Dental Eastern LLC | Clinic/Center | 581 N Eastern Ave, Las Vegas, NV 89101-3422 | 2020-01-22 |
1285285569 | Gurpreet Khairah Dds Pllc | Clinic/Center | 2900 E Desert Inn Rd Ste 109, Las Vegas, NV 89121-3619 | 2019-09-26 |
1770131534 | Robert C. Riegel, D.d.s Apc | Clinic/Center | 3663 E Sunset Rd Ste 507, Las Vegas, NV 89120-3299 | 2019-08-26 |
1376008193 | Life Dentistry - Dr Duff, Pllc | Clinic/Center | 10670 Dean Martin Dr., Suite 100, Las Vegas, NV 89141 | 2019-02-06 |
1467928952 | Ghazal Las Vegas Modern Smiles Dentistry, PC | Clinic/Center | 3119 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2018-10-23 |
1285123851 | Herrera Family Dental, Pllc | Clinic/Center | 1300 S Lamb Blvd Ste 400, Las Vegas, NV 89104-5540 | 2018-05-09 |
1770072274 | Sahara Dental Partners LLC | Clinic/Center | 4750 W Sahara Ave Ste 11, Las Vegas, NV 89102-3559 | 2018-05-09 |
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.