Organization Active NPI

Nader Afshari DDS a Dental Venture Inc

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1043729171
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3179 Issued in NV
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

Updated by the provider on Dec 20, 2022

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3179 NV Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1043729171MedicaidNV
1063696110OtherMY INDIVIDUAL NPI NUMBER
1063696110OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.