BOULDER CROSSINGS DENTAL PARTNERS PLLC (NPI# 1346831989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346831989 |
| Entity Type | Organization |
| Organization Name | BOULDER CROSSINGS DENTAL PARTNERS PLLC |
| Practice Address | 4954 Boulder Hwy Las Vegas NV 89121-3016 |
| Practice Telephone | 7028476273 |
| Practice Fax Number | 7028476274 |
| Mailing Address | 3030 N. Central Ave Suite 1500 Phoenix AZ 85012-2750 |
| Mailing Telephone | 6024274066 |
| Certification Date | 2021-01-28 |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-28 |
| Authorized Official Telephone | 6024274066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 1223X0400X | Dentist Specialization: Orthodontics and Dentofacial Orthopedics | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | ||
| Y | 1223G0001X | Dentist Specialization: General Practice | 193200000X MULTI-SPECIALTY GROUP | Dental Providers |
| Other Name | Type Code |
|---|---|
| Risas Dental and Braces | Doing Business As Name |
| Street Address | 4954 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist · Prescribing (Medical) | 3910 Pecos-Mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez · Insight Behavioral Mental Health Centers | Clinic/Center · Mental Health (Including Community Mental Health Center) | 3777 Pecos-Mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician · Personal Care Attendant | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor · Addiction (Substance Use Disorder) | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez · Wilma Guadalupe Nunez Cabrera | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| 1447819164 | Jovita Garcia-Perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811588486 | Jones Dental Partners | 240 N Jones Blvd Ste B, Las Vegas, NV 89107-1450 | 2021-01-27 | |
| 1891386462 | Beltway Dental Partners | 9210 S Eastern Ave Ste 130, Las Vegas, NV 89123-4834 | 2021-01-27 | |
| 1033708235 | Professional Dental Care of Northern New Mexico IIi | 2500 7th St Ste H, Las Vegas, NM 87701-4947 | 2021-01-12 | |
| 1851901755 | Christian J. Otteson | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 | |
| 1811506082 | Jorge Jimenez-Marquez, Dmd, Pllc | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 | |
| 1235747643 | Sean Patrick Fitzgibbons | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 | |
| 1467079806 | Cristian Omar Sosa | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 | |
| 1538786421 | Colette Laree Fuglaar · Colette Laree Childress | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 | |
| 1083233001 | Flamingo Dental Partners LLC | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 | |
| 1356979603 | Kim Dewayne Kemmerly | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013052653 | Colorado Dhca, Boulder, Pllc · Dental Health of Boulder, Pllc | Dentist · General Practice | 2525 28th St Unit 140, Boulder, CO 80301-1255 | 2007-02-21 |
| 1699015230 | Wheat Ridge Dental Partners Pllc · Bel Aire Dental Partners Pllc | Dentist · General Practice | 3815 Wadsworth Blvd, Wheat Ridge, CO 80033 | 2013-02-19 |
| 1437601788 | Apex Dental Partners Pllc · Kidz Choice Dental, Helena Family Dental Central Dental | Dentist · Pediatric Dentistry | 1701 Centerview Dr, Suite 114, Little Rock, AR 72211-4308 | 2016-11-02 |
| 1588109862 | Boulder Canyon Dental Pllc | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2016-12-22 |
| 1124282967 | Rocky Mountain Dental Partners, Pllc · Rocky Mountain Dental Partners | Dentist | 7940 S University Blvd, Suite 2, Centennial, CO 80122-5104 | 2008-07-10 |
| 1003111378 | Arizona Grand Medical Center Pllc · Agmc - Crossings | Clinic/Center · Multi-Specialty | 3777 Crossings Dr, Prescott, AZ 86305-7121 | 2011-01-18 |
| 1629457320 | Soto & Soto Dental Partners, Pllc · Soto Dental Partners | Dentist · General Practice | 2311 N. Mesa St., Ste H, El Paso, TX 79902 | 2015-05-27 |
| 1235440108 | Guzman Dental Partners of Boston, Pllc · Dental Partners of Boston | Dentist | 800 Boylston St, Boston, MA 02199-8001 | 2010-06-25 |
| 1114350402 | Denver South Dental Partners Pllc · Denver South Dental Partners | Dentist | 2731 West Evans Avenue, Denver, CO 80219 | 2013-08-09 |
| 1407148026 | Glenfair Dental Partners Pllc · Grins Dental | Dentist · General Practice | 6026 N 59th Ave, Glendale, AZ 85301-7709 | 2011-05-16 |
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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.