Active NPI
Paymon Paul Mehryar
- Periodontics
- Las Vegas, NV
National Provider Identifier
1245708551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- S4-115C
- Practice address
- 45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480 - Phone
- (702) 425-6810
- NPI assigned
- Nov 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | S4-115C | NV | Primary |
| General Practice Dentistry | 1223G0001X | 34644 | TX |
Addresses
Primary practice location
45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480
Mailing address
45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480
Phone (702) 425-6810
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34644 | TX | MD | General Practice Dentistry |
| S4-115C | NV | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaragoza Dental Care PLLC | Past | Accepting new patients | |
| Karimzada Silverado Ranch Dentistry, PC | Past | Accepting new patients | |
| Oral Healthcare Consulting and Education PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Las Vegas, NV
- NPI 1720643067
-
- General Practice Dentistry
- El Paso, TX
- NPI 1972469088
-
- Dental Clinic/Center
- El Paso, TX
- NPI 1679854210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1245708551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E SILVERADO RANCH BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891833480",
"telephone_number": "702-425-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E SILVERADO RANCH BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891833480",
"telephone_number": "702-425-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRYAR",
"first_name": "PAYMON",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NV",
"license": "S4-115C",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34644",
"primary": false
}
],
"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 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.