Active NPI
Nicholas Kallas, DMD
- Dentist
- Zephyr Cove, NV
National Provider Identifier
1093608705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8201
- Practice address
- 120 McFaul Way
Zephyr Cove, NV 89448-9807 - Phone
- (775) 588-5183
- NPI assigned
- May 31, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8201 | NV | Primary |
Addresses
Primary practice location
120 McFaul Way
Zephyr Cove, NV 89448-9807
Mailing address
120 McFaul Way
Zephyr Cove, NV 89448-9807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8201 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Dental Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Zephyr Cove, NV
- NPI 1699367110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1093608705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MCFAUL WAY",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894489807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MCFAUL WAY",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894489807",
"telephone_number": "775-588-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAS",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-31",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "8201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyr Cove, NV
- Robert Francis Desipio Jr., D.M.D
- Elizabeth Erin Eisenlohr, LMFT
- Christina Chandra Frohlich, D.P.T.
- Jonathan Taylor Hagen, MD
- Innovative Dental Solutions, LLC
- Lake Tahoe Orthopaedic Institute
- Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp
- Richard Eldred Lusby, D.D.S.
- Mind Body Physical Therapy PC
- Kristen Pier, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.