NPIMap

Organization Active NPI

Maryam Sina DDS LTD

  • Pediatric Dentistry
  • Henderson, NV
National Provider Identifier
1104879717
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2946 Issued in NV
Legal business name
MARYAM SINA DDS LTD
Practice address
2551 N Green Valley Pkwy
Suite #400a
Henderson, NV 89014-0272
Phone
(702) 458-6684
Fax
(702) 450-9498
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Maryam Sina, DDSNPI 1457625832
Title
Pediatric Dentist/President
Phone
(702) 458-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2946 NV Primary

Addresses

Primary practice location

2551 N Green Valley Pkwy
Suite #400a
Henderson, NV 89014-0272

Mailing address

2551 N Green Valley Pkwy
Suite #400a
Henderson, NV 89014-0272
Phone (702) 458-6684

Other identifiers 1

IdentifierTypeStateIssuer
002202360MedicaidNV

Other names 1

  • DENTISTRY FOR CHILDREN Other name

National Provider Directory

National Provider Directory
Tax ID family
Dentistry for Children3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2551 N Green Valley Pkwy
Ste 400A
Henderson, NV 89014
Phone (702) 458-6684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1104879717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY",
            "address_2": "SUITE #400A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-458-6684",
            "fax_number": "702-450-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY",
            "address_2": "SUITE #400A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-458-6684",
            "fax_number": "702-450-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM SINA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "SINA",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "702-458-6684",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "2946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202360",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTRY FOR CHILDREN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.