Individual provider Active NPI

Shari Claros, DMD

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1104319631
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7367 Issued in NV
Practice address
2345 E Centennial Pkwy Ste 110
North Las Vegas, NV 89081-5605
Phone
(702) 766-6853
NPI assigned
Jun 9, 2018
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7367 NV Primary

Addresses

Primary practice location

2345 E Centennial Pkwy Ste 110
North Las Vegas, NV 89081-5605

Mailing address

7633 Tiny Tortoise St
Las Vegas, NV 89149-1926

Other practice location 1

2085 Village Center Cir Ste 140
Las Vegas, NV 89134-6263
Phone (702) 256-6001

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
7367NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nea Dentistry LLC Dentist CurrentSince Feb 27, 2022 Accepting new patients

Locations

2085 Village Center Cir
Ste 140
Las Vegas, NV 89134
Phone (702) 256-6001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1104319631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 TINY TORTOISE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E CENTENNIAL PKWY STE 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815605",
            "telephone_number": "702-766-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Village Center Cir Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891346263",
            "country_code": "US",
            "telephone_number": "702-256-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAROS",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.