Active NPI
Corneliu Sima, DMD MSC DSC
- Periodontics
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- S4-124C
- Practice address
- 10443 Double R Blvd
Reno, NV 89521-8905 - Phone
- (775) 521-5955
- NPI assigned
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DF11069 | MA | |
| Periodontics | 1223P0300X | S4-124C | NV | Primary |
Addresses
Primary practice location
10443 Double R Blvd
Reno, NV 89521-8905
Mailing address
1851 Steamboat Pkwy Unit 12432
Reno, NV 89521-6386
Phone (857) 292-2284
Other practice location 1
7565 W Washington Ave Ste 101
Las Vegas, NV 89128-4334
Phone (702) 342-8631
Other practice location 2
4380 W Cactus Ave Ste 100
Las Vegas, NV 89141-8926
Phone (702) 570-0241
Other practice location 3
3119 N Rainbow Blvd
Las Vegas, NV 89108-4578
Phone (702) 342-1604
Other practice location 4
6485 N Decatur Blvd Ste 150
Las Vegas, NV 89131-2989
Phone (702) 846-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322003029 | NV | Order and Referring Only - Dentist | 3173999703 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DF11069 | MA | MD | Periodontist |
| S4-124C | NV | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghazal Las Vegas Modern Smiles Dentistry, PC | Past | Accepting new patients | |
| Shahrestani Shadow Mountain Smiles Dentistry, PC | Past | Accepting new patients | |
| Gulati Highlands Dentistry, PC | Past | Accepting new patients | |
| Ghazal Parkway Modern Dentistry, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1467928952
-
- Dentist
- Las Vegas, NV
- NPI 1396234092
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1730714569
-
- Dentist
- Las Vegas, NV
- NPI 1609331826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1063809101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 STEAMBOAT PKWY UNIT 12432",
"city": "RENO",
"state": "NV",
"postal_code": "895216386",
"telephone_number": "857-292-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10443 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895218905",
"telephone_number": "775-521-5955"
}
],
"practiceLocations": [
{
"address_1": "7565 W Washington Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891284334",
"country_code": "US",
"telephone_number": "702-342-8631",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4380 W Cactus Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891418926",
"country_code": "US",
"telephone_number": "702-570-0241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3119 N Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891084578",
"country_code": "US",
"telephone_number": "702-342-1604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6485 N Decatur Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891312989",
"country_code": "US",
"telephone_number": "702-846-5745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMA",
"first_name": "CORNELIU",
"credential": "DMD MSC DSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-15",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DF11069",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NV",
"license": "S4-124C",
"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 Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.