NPIMap

Organization Active NPI

Shahrestani Rancho Smiles Dentistry, PC

Doing business as Rancho Smiles Dentistry

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1114705324
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAHRESTANI RANCHO SMILES DENTISTRY, PC
Doing business as
Rancho Smiles Dentistry
Practice address
4420 N Rancho Dr
Las Vegas, NV 89130-3406
Phone
(702) 425-3639
Fax
(702) 425-9975
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Ali Shahrestani, DMD
Title
Owner
Phone
(702) 425-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4420 N Rancho Dr
Las Vegas, NV 89130-3406

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • RANCHO SMILES DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

4420 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 425-3639

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1114705324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303406",
            "telephone_number": "702-425-3639",
            "fax_number": "702-425-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRESTANI RANCHO SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-425-3639",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO SMILES DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 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.