Active NPI
Katelyn Dennis, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1235020751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8225
- Practice address
- 7171 W Craig Rd Ste 102
Las Vegas, NV 89129-6018 - Phone
- (702) 655-0331
- NPI assigned
- Jul 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8225 | NV | Primary |
Addresses
Primary practice location
7171 W Craig Rd Ste 102
Las Vegas, NV 89129-6018
Mailing address
9364 Draconis Ave
Las Vegas, NV 89143-1345
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925003810 | NV | Order and Referring Only - Dentist | 8820593296 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahrestani Las Vegas Modern Dentistry, PC | 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.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1588943948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752278400000",
"number": "1235020751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9364 DRACONIS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891431345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 W CRAIG RD STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296018",
"telephone_number": "702-655-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "KATELYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-12",
"last_updated": "2025-07-12",
"certification_date": "2025-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "8225",
"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 Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.