CANYON DENTAL IMPLANT CENTER LLC (NPI# 1396284386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396284386 |
Entity Type | Organization |
Organization Name | CANYON DENTAL IMPLANT CENTER LLC |
Other Organization Name | CANYON DENTAL IMPLANTS & DENTURES |
Practice Address |
6200 N Durango Dr Ste 100 Las Vegas NV 89149-3916 |
Practice Telephone | 7026605574 |
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 |
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 |
---|---|---|---|---|
1073052072 | Canyon Dental Implant Center LLC | Clinic/Center | 3635 S Town Center Dr, Las Vegas, NV 89135-3017 | 2017-02-23 |
Street Address |
6200 N DURANGO DR STE 100 |
City | LAS VEGAS |
State | NV |
Zip Code | 89149-3916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760739825 | Michael S Moody | Dentist | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149 | 2012-08-08 |
1730629767 | Falk Oral & Facial Surgery, Pllc | Clinic/Center | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149-3916 | 2017-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
Find all providers in zip 89149 |
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.