Active NPI
Lakshmi Harini Mallavarapu, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1154779684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8230
- Practice address
- 3360 W Cactus Ave Ste 150
Las Vegas, NV 89141-8810 - Phone
- (702) 781-8756
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-4694 | ID | |
| Dentist | 122300000X | 61492 | KS | |
| Dentist | 122300000X | 2019020332 | MO | |
| Dentist | 122300000X | 8230 | NV | Primary |
Addresses
Primary practice location
3360 W Cactus Ave Ste 150
Las Vegas, NV 89141-8810
Mailing address
3360 W Cactus Ave Ste 150
Las Vegas, NV 89141-8810
Phone (702) 781-8756
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61492 | KS | MD | Dentist |
| 2019020332 | MO | MD | Dentist |
| 8230 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Safari of Missouri | 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
- Raytown, MO
- NPI 1538622071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1154779684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3360 W CACTUS AVE STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418810",
"telephone_number": "702-781-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 W CACTUS AVE STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418810",
"telephone_number": "702-781-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLAVARAPU",
"first_name": "LAKSHMI HARINI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-4694",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61492",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2019020332",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "8230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.