Active NPI
Advanced Aesthetic Plastic Surgery, LTD
- Plastic and Reconstructive Surgery Physician
- Reno, NV
National Provider Identifier
1053580332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- ADVANCED AESTHETIC PLASTIC SURGERY, LTD
- Practice address
- 10755 Double R Blvd
Reno, NV 89521-8956 - Phone
- (775) 826-4477
- Fax
- (775) 826-4436
- NPI assigned
- Feb 21, 2008
- 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
- Dr. Phillip E Dahan, MD
- Title
- Physician/Owner
- Phone
- (775) 826-4477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
10755 Double R Blvd
Reno, NV 89521-8956
Mailing address
10755 Double R Blvd
Reno, NV 89521-8956
Phone (775) 826-4477
National Provider Directory
National Provider DirectoryLocations
6770 S McCarran Blvd
Ste 202
Reno, NV 89509
Phone (775) 826-4477
10755 Double R Blvd
Reno, NV 89521
Phone (775) 826-4477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1053580332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895218956",
"telephone_number": "775-826-4477",
"fax_number": "775-826-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10755 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895218956",
"telephone_number": "775-826-4477",
"fax_number": "775-826-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED AESTHETIC PLASTIC SURGERY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "DAHAN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "775-826-4477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.