JOHNSON IMPLANT DENTISRTY ASSOCIATES


Address: 6460 Medical Center St, Suite 300, Las Vegas, NV 89148-2406
Phone: 7027396452

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
2000203290 NV Dental Providers

Other Provider/Organization Names

Other Name Type Code
ClearChoice Dental Implant Center Doing Business As Name - Organization

Office Location

Street Address 6460 MEDICAL CENTER ST
SUITE 300
City LAS VEGAS
State NV
Zip Code 89148-2406

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LAS VEGAS
Zip Code 89148

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Dataset Information

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.

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