BOSTON DENTAL AT ANTHEM LLC (NPI# 1245668870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245668870 |
| Entity Type | Organization |
| Organization Name | BOSTON DENTAL AT ANTHEM LLC |
| Practice Address |
2870 Bicentennial Pkwy Ste 120 Henderson NV 89044 |
| Mailing Address |
2101 S Jones Blvd Ste 140 Las Vegas NV 89146-3133 |
| Practice Telephone | 7025222277 |
| Mailing Telephone | 7025222269 |
| Mailing Fax Number | 7029908856 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | ROALND PISCHINGER (INSURANCE DEPARTMENT MANAGER) |
| Authorized Official Telephone | 7025222028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2870 BICENTENNIAL PKWY STE 120 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165431 | Lindsay R Clanagan | Counselor | 2824 Dunnottar Ave, Henderson, NV 89044 | 2020-05-12 |
| 1649420811 | William Kenneth Noel | Family Medicine | 2159 Sawtooth Mountain Drive, Henderson, NV 89044 | 2008-09-24 |
| 1700885548 | Mercy Air Service, Inc. | Ambulance | 13000 Las Vegas Blvd S, Henderson, NV 89044 | 2005-07-14 |
| 1316339120 | Mercy Air Service, Inc. | Ambulance | 13000 Las Vegas Blvd S, Henderson, NV 89044 | 2015-03-03 |
| 1164814448 | Mercy Air Service, Inc | Ambulance | 13000 Las Vegas Blvd S, Henderson, NV 89044 | 2015-02-24 |
| 1538381637 | Llgallofin Psychiatric Services PC | Psychiatry & Neurology | 2457 Hamonah Dr, Henderson, NV 89044 | 2007-05-02 |
| 1598887556 | Vicki Fern-riska | Counselor | 2310 Black River Falls Dr, Henderson, NV 89044-0100 | 2007-04-03 |
| 1922202878 | Jeffrey B. Horton | Plastic Surgery | 2200 Twin Falls Dr, Henderson, NV 89044-0112 | 2007-06-13 |
| 1841736824 | Gayna Mccrary Rowe | Counselor | 2096 Sawtooth Mountain Dr, Henderson, NV 89044-0123 | 2017-01-13 |
| 1821428863 | Mary Jo Connery | Rehabilitation Practitioner | 2121 Sawtooth Mountain Dr, Henderson, NV 89044-0124 | 2013-11-12 |
| Find all providers in zip 89044 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143745 | Smile Dental | Clinic/Center | 1720 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012-4896 | 2020-08-08 |
| 1619585353 | Green Valley Dentistry | Clinic/Center | 11 S Stephanie St Ste 100, Henderson, NV 89012-6034 | 2020-07-20 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1558891275 | Jessica H. Renaker, Dmd Pllc | Clinic/Center | 730 N Green St, Henderson, KY 42420-2951 | 2017-06-14 |
| 1063641769 | Anthem Hills Dental | Clinic/Center | 12231 S Eastern Ave Ste 110, Henderson, NV 89052-4415 | 2009-07-02 |
| 1568604023 | Eric V. Lac Dmd Ltd | Clinic/Center | 40 N Valle Verde Dr, Ste 140, Henderson, NV 89074-1776 | 2009-03-30 |
| 1083866503 | Christian A. Pham, Dmd, Ltd | Clinic/Center | 60 S. Stephanie St., Suite #100, Henderson, NV 89012 | 2008-10-15 |
| 1053529651 | Crestview Dental | Clinic/Center | 60 S. Stephanie St, Henderson, NV 89012 | 2007-05-18 |
| 1528276102 | Carepoint Dental | Clinic/Center | 130 N. Boulder Hwy Ste 100, Henderson, NV 89015 | 2007-05-18 |
| 1508995598 | Star Brite Dental, Hai Q. Xa D.m.d. Prof. Corp. | Clinic/Center | 560 Marks St Ste B, Henderson, NV 89014-8602 | 2007-03-05 |
| Find all providers in HENDERSON | ||||
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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.