STAR BRITE DENTAL, HAI Q. XA D.M.D. PROF. CORP. (NPI# 1508995598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508995598 |
Entity Type | Organization |
Organization Name | STAR BRITE DENTAL, HAI Q. XA D.M.D. PROF. CORP. |
Other Organization Name | STAR BRITE DENTAL |
Practice Address |
560 Marks St Ste B Henderson NV 89014-8602 |
Practice Telephone | 7024565100 |
Practice Fax Number | 7024565102 |
Mailing Telephone | 7024565100 |
Mailing Fax Number | 7024565102 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | HAI Q. XA (PRESIDENT) |
Authorized Official Telephone | 7024565100 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3780 | NV | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | UNITED CONCORDIA | 1392912 | 01 |
NV | CULINARY | 71048 | 01 |
Other Name | Type Code |
---|---|
STAR BRITE DENTAL | Doing Business As Name - Organization |
Street Address |
560 MARKS ST STE B |
City | HENDERSON |
State | NV |
Zip Code | 89014-8602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
Find all providers in zip 89014 |
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 |
1245668870 | Boston Dental At Anthem LLC | Clinic/Center | 2870 Bicentennial Pkwy Ste 120, Henderson, NV 89044 | 2013-10-16 |
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 |
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.