Active NPI
Nader Afshari DDS a Dental Venture Inc
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1043729171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3179
- Legal business name
- NADER AFSHARI DDS A DENTAL VENTURE INC
- Practice address
- 4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425 - Phone
- (818) 274-2215
- Fax
- (702) 233-1250
- NPI assigned
- Sep 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nader Afshari, DDS
- Title
- Owner /Dentist
- Phone
- (818) 929-9284
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3179 | NV | Primary |
| General Practice Dentistry | 1223G0001X |
Addresses
Primary practice location
4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425
Mailing address
4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425
Phone (702) 233-1222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043729171 | Medicaid | NV | |
| 1063696110 | Other | MY INDIVIDUAL NPI NUMBER | |
| 1063696110 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
4161 S Eastern Ave
Ste E8
Las Vegas, NV 89119
Phone (702) 233-1222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Las Vegas, NV
- NPI 1366862179
-
- Dentist
- Las Vegas, NV
- NPI 1427736792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1043729171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 S EASTERN AVE STE E8",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195425",
"telephone_number": "702-233-1222",
"fax_number": "702-233-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 S EASTERN AVE STE E8",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195425",
"telephone_number": "818-274-2215",
"fax_number": "702-233-1250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADER AFSHARI DDS A DENTAL VENTURE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "AFSHARI",
"authorized_official_first_name": "NADER",
"authorized_official_title_or_position": "OWNER /DENTIST",
"authorized_official_telephone_number": "818-929-9284",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "3179",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043729171",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MY INDIVIDUAL NPI NUMBER",
"identifier": "1063696110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1063696110",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.