NPI Code Detail JSON Logo

1578885521 NPI number — P3 DENTAL - WELEBIR PC

NPI Number: 1578885521
Health Care Provider/Practitioner: P3 DENTAL - WELEBIR PC

Information about “1578885521” NPI (P3 DENTAL - WELEBIR PC) exists in 1578885521 in HTML format HTML  |  1578885521 in plain Text format TXT  |  1578885521 in PDF (Portable Document Format) PDF  |  1578885521 in an XML format XML  formats.

NPI Number : 1578885521 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578885521",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "P3 DENTAL - WELEBIR PC",
    "ParentOrgTIN": null,
    "OrgName": "P3 DENTAL - WELEBIR PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "P3 DENTAL - WELEBIR PC",
    "SecondLineMailingAddress": "1131 S. CASINO BLVD",
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-648-2094",
    "MailingAddressFaxNumber": "702-648-0875",
    "FirstLinePracticeLocationAddress": "4358 WEST CHEYENNE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-735-9500",
    "PracticeLocationAddressFaxNumber": "702-586-1592",
    "EnumerationDate": "02/18/2010",
    "LastUpdateDate": "11/01/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HERNANDEZ",
    "AuthorizedOfficialFirstName": "BEATRIZ",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SUPERVISOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "714-578-6591",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.