JOHNSON IMPLANT DENTISRTY ASSOCIATES (NPI# 1881967628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881967628 |
Entity Type | Organization |
Organization Name | JOHNSON IMPLANT DENTISRTY ASSOCIATES |
Other Organization Name | CLEARCHOICE DENTAL IMPLANT CENTER |
Practice Address |
6460 Medical Center St Suite 300 Las Vegas NV 89148-2406 |
Practice Telephone | 7027396452 |
Practice Fax Number | 7027396654 |
Mailing Telephone | 7027396452 |
Mailing Fax Number | 7027396654 |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |
Authorized Official Name | DR. ARISTIDES A TSIKOUDAKIS (MAXILLOFACIAL PROSTHODONTIST) |
Authorized Official Telephone | 7027396452 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2000203290 | NV | Dental Providers |
Other Name | Type Code |
---|---|
ClearChoice Dental Implant Center | Doing Business As Name - Organization |
Street Address |
6460 MEDICAL CENTER ST SUITE 300 |
City | LAS VEGAS |
State | NV |
Zip Code | 89148-2406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346312642 | Axiom Imaging of Las Vegas LLC | Radiology | 6460 Medical Center St, Ste. 150, Las Vegas, NV 89148-2406 | 2006-11-14 |
1053912790 | Michelle Bastarache | Nurse Practitioner | 6460 Medical Center St, Las Vegas, NV 89148-2406 | 2020-11-07 |
1114470614 | American Radiology LLC | Clinic/Center | 6460 Medical Center St, Ste 150, Las Vegas, NV 89148-2406 | 2016-08-01 |
1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
1841461597 | Southern Hills Orthodontics, Inc. | Dentist | 6460 Medical Center St, Suite 210, Las Vegas, NV 89148-2421 | 2008-03-20 |
1225228034 | Douglas Jackson Fife | Specialist | 6460 Medical Center St, Suite 350, Las Vegas, NV 89148 | 2007-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
Find all providers in zip 89148 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619345840 | Joshua Renk | Dentist | 851 S Rampart Blvd Ste 250, Las Vegas, NV 89145-4888 | 2015-09-03 |
1306943469 | Brock Alan Satoris | Dentist | 4492 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-09-20 |
1679588115 | Lyle Scott Brooksby | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2006-07-31 |
1730181850 | Nelson D Lasiter | Dentist | 2255 Renaissance Dr, Ste B, Las Vegas, NV 89119-6167 | 2005-06-01 |
1457726960 | Greater Las Vegas | Dentist | 8867 W Flamingo Rd, Suite 100, Las Vegas, NV 89147-8758 | 2015-12-09 |
1891944781 | Marco Tulio Padilla | Dentist | 1811 South Rainbow Blvd, Suite 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
1457496077 | The Dental Implant Source | Dentist | 8960 W Cheyenne Ave Unit 190, Las Vegas, NV 89129-8929 | 2007-02-21 |
1235249822 | Kiki S Dounis | Dentist | 901 Rancho Ln, 270, Las Vegas, NV 89106-3836 | 2006-08-30 |
1417932831 | Gary A Braun | Dentist | 4700 Las Vegas Blvd North, Suite 2419, Las Vegas, NV 89191-6601 | 2005-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932645827 | Tiffany Kafei Lee | Dentist | 2345 E Centennial Pkwy Ste 110, North Las Vegas, NV 89081-5605 | 2017-01-16 |
1801911474 | Robert Howard Ahlstrom | Dentist | 3701 Baker Ln Ste 2, Reno, NV 89509-5441 | 2007-03-20 |
1508178633 | Craig Andresen | Dentist | 1601 Lakeside Dr, Reno, NV 89509-3464 | 2010-07-06 |
1386639607 | John A Thomas | Dentist | 4700 Las Vegas Blvd N, Suite 2419, Bldg 1300, Nellis Afb, NV 89191-6600 | 2005-09-13 |
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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.