LONE MOUNTAIN FAMILY DENTAL
NPI 1366811747
Preferred Provider Organization in Las Vegas, NV

NPI Status: Active since September 16, 2015

Contact Information

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130
Phone: (702) 655-9533
Fax: (702) 655-9565

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  • Preferred Provider Organization

About LONE MOUNTAIN FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Lone Mountain Family Dental, a provider established in Las Vegas, Nevada operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1366811747 assigned on September 2015. The practitioner's primary taxonomy code is 305R00000X with license number 6547 (NV). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Lone Mountain Dental. The authorized official of this NPI record is Dr. Joshua David Etman Dds (President/ Doctor)

NPI
1366811747
Provider Legal Name
LONE MOUNTAIN FAMILY DENTAL
Other Organization Name
LONE MOUNTAIN DENTAL
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130
Location Phone
(702) 655-9533
Location Fax
(702) 655-9565
Mailing Address
4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130
Mailing Phone
(702) 655-9533
Mailing Fax
(702) 655-9565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2015
Last Update Date
09-16-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
6547
License State
NV
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOSHUA DAVID ETMAN DDS

Authorized Official Title
PRESIDENT/ DOCTOR
Authorized Official Phone
(702) 655-9533

Reviews for LONE MOUNTAIN FAMILY DENTAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366811747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126161278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 1 + 2 + 7 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1366811747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. GREGORY KEN CAHOON DDS

Dentist

(General Practice)

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130

(702) 257-2655

BARRY A KENNEDY D.D.S

Dentist

(General Practice)

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130

(702) 655-9533

LONE MOUNTAIN DENTAL, LLC

Dentist

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130

(702) 655-9533

TOM GODFREY DMD PLLC

Clinic/Center

(Dental)

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130

(702) 655-9533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366811747, enumerated as an "organization" on September 16, 2015.

The provider is located at 4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130 and the phone number is (702) 655-9533.

Preferred Provider Organization with taxonomy code 305R00000X.