Bao DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BAO DDS PLLC

Doing business as

Windmill Pediatric Dentistry

Practice address

7960 S Rainbow Blvd
Suite 8000B
Las Vegas, NV 89139

Phone

(702) 708-1299

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sisi Bao, DDSNPI 1588022636

Title

Owner Dentist

Phone

(702) 708-1299

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Windmill Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sisi Bao, DDS

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1588022636
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1093581720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 S RAINBOW BLVD",
            "address_2": "SUITE 8000B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-708-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 S RAINBOW BLVD",
            "address_2": "SUITE 8000B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-708-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "SISI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "702-708-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "S6-218C",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windmill Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minerva Banuelos
• Seleste Banuelos
• Bonnamae Banzon Saavedra
• Lesley Banzon
• Melvin Banzon
• Bao Tran MD PLLC
• Phung Bao
• Sisi Bao, DDS
• Yijun Bao
• Sharetha S Baptist

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.