Individual provider Active NPI

Pamela J West, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1154628253
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2895 Issued in NV
Practice address
2095 Village Center Cir Ste 110
Las Vegas, NV 89134-6253
Phone
(702) 240-0400
Fax
(702) 242-0004
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2895 NV Primary

Addresses

Primary practice location

2095 Village Center Cir Ste 110
Las Vegas, NV 89134-6253

Mailing address

2095 Village Center Cir Ste 110
Las Vegas, NV 89134-6253
Phone (702) 240-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225000378 NV Practitioner - Dentist 3678885456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Herman Ostrow School of Dentistry of Usc, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2095 Village Ctr Cir
Suite 110
Las Vegas, NV 89134-6253
Phone (702) 602-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2895NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Isleepsolutions, LLC CurrentSince Mar 4, 2016 Accepting new patients
Pamela J. West, D.D.S., LTD. General Practice PastSince Jan 1, 2002 Accepting new patients

Locations

2095 Village Center Cir
Ste 110
Las Vegas, NV 89134
Phone (702) 240-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1154628253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 VILLAGE CENTER CIR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346253",
            "telephone_number": "702-240-0400",
            "fax_number": "702-242-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 VILLAGE CENTER CIR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346253",
            "telephone_number": "702-240-0400",
            "fax_number": "702-242-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.