BOULDER CROSSINGS DENTAL PARTNERS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)

Address: 4954 Boulder Hwy, Las Vegas, NV 89121-3016

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Risas Dental and Braces Doing Business As Name

Office Location

Street Address 4954 BOULDER HWY
City LAS VEGAS
State NV
Zip Code 89121-3016

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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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City LAS VEGAS
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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.