Healthcare Provider Details

I. General information

NPI: 1780038257
Provider Name (Legal Business Name): FIRST PERSON CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 W OWENS AVE
LAS VEGAS NV
89106-2516
US

IV. Provider business mailing address

PO BOX 270790
LAS VEGAS NV
89127-4790
US

V. Phone/Fax

Practice location:
  • Phone: 888-795-1110
  • Fax: 702-380-2929
Mailing address:
  • Phone: 888-795-1110
  • Fax: 702-380-2929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BRIANNA WASHINGTON
Title or Position: HR DIRECTOR
Credential:
Phone: 702-380-8118