MOSAIC DENTAL, PROF. CORP. (NPI# 1093919458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093919458 |
| Entity Type | Organization |
| Organization Name | MOSAIC DENTAL, PROF. CORP. |
| Other Organization Name | MOSAIC DENTAL |
| Practice Address |
Star Brite Dental 893 S. Rainbow Blvd. Las Vegas NV 89145 |
| Mailing Address |
9690 W. Tropicana Ave. Las Vegas NV 89147 |
| Practice Telephone | 7024560034 |
| Practice Fax Number | 7028560035 |
| Mailing Telephone | 7024338400 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HAI Q. XA (DOCTOR) |
| Authorized Official Telephone | 7024560034 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 3780 | NV | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Mosaic Dental | Doing Business As Name - Organization |
| Street Address |
STAR BRITE DENTAL 893 S. RAINBOW BLVD. |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468778 | Nathan Pinkney | Preferred Provider Organization | 9421 Moon Splash Ct, Las Vegas, NV 89129-7890 | 2015-10-05 |
| 1982080172 | Alw Behavior Services | Preferred Provider Organization | 3757 Dusky Flycatcher St, Las Vegas, NV 89122-3546 | 2015-08-11 |
| 1639411473 | Giang Lam A Profession Corp | Preferred Provider Organization | 6545 S Fort Apache Rd, 110, Las Vegas, NV 89148-6752 | 2013-03-19 |
| 1659610483 | Valhalla Medical Associates LLC | Preferred Provider Organization | 2851 N Tenoya Way #103, Las Vegas, NV 89128-0435 | 2013-02-14 |
| 1205183886 | My Family Home | Preferred Provider Organization | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2012-08-13 |
| 1124308135 | St. Louis Medical Center | Preferred Provider Organization | 530 E Saint Louis Ave, Las Vegas, NV 89104-2558 | 2011-08-22 |
| 1831327220 | Anderson Chiropractic | Preferred Provider Organization | 6485 N Decatur Blvd, Ste. 130, Las Vegas, NV 89131-2988 | 2009-06-24 |
| 1144490905 | Stacie Lynne Rivers | Preferred Provider Organization | 6795 Edmond St, Suite 210, Las Vegas, NV 89118-3505 | 2008-03-08 |
| 1225218951 | Radiant Dental 1 | Preferred Provider Organization | 7469 W Lake Mead Blvd, Suite 270, Las Vegas, NV 89128-1030 | 2007-11-09 |
| 1609326271 | Time for Life Home Care Multi-services | Preferred Provider Organization | 6032 Tersky Ct, Las Vegas, NV 89122-3443 | 2016-10-07 |
| 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.