Organization Active NPI

Gentle Dentistry of Las Vegas LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1245005081
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE DENTISTRY OF LAS VEGAS LLC
Practice address
501 S Rancho Dr Ste G48
Las Vegas, NV 89106-4835
Phone
(702) 474-2454
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Farah Divanbeigi, DDSNPI 1982730511
Title
Doctor/Owner
Phone
(702) 524-2675

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

501 S Rancho Dr Ste G48
Las Vegas, NV 89106-4835

Mailing address

PO Box 35835
Las Vegas, NV 89133-5835

National Provider Directory

National Provider Directory

Locations

501 S Rancho Dr
Ste G48
Las Vegas, NV 89106
Phone (702) 474-2454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1245005081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35835",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE G48",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064835",
            "telephone_number": "702-474-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY OF LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "DIVANBEIGI",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "702-524-2675",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Dec 5, 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.