Individual provider Active NPI

James Nnah, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1083218895
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7402 Issued in NV
Practice address
6180 N Decatur Blvd Ste 100
Las Vegas, NV 89130-1505
Phone
(702) 359-3107
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7402 NV Primary

Addresses

Primary practice location

6180 N Decatur Blvd Ste 100
Las Vegas, NV 89130-1505

Mailing address

7084 Arabian Ridge St
Las Vegas, NV 89131-3419
Phone (781) 801-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7402NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Nnah, DMD, PLLC CurrentSince Apr 28, 2024 Accepting new patients
Faddis Dentists of North Las Vegas, PC General Practice PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1083218895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 ARABIAN RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313419",
            "telephone_number": "781-801-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 N DECATUR BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301505",
            "telephone_number": "702-359-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAH",
        "first_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7402",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 23, 2020; 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.