Active NPI
Sharifian Charleston Dental Group, PC, a Nevada Professional Corp
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1255427142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SHARIFIAN CHARLESTON DENTAL GROUP, PC, A NEVADA PROFESSIONAL CORP
- Practice address
- 2001 W Charleston Blvd
Las Vegas, NV 89102-2228 - Phone
- (702) 366-1407
- Fax
- (702) 853-0533
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alex R Sharifian, DDS
- Title
- Owner DDS
- Phone
- (702) 650-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2001 W Charleston Blvd
Las Vegas, NV 89102-2228
Mailing address
2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600
Other names 1
- VEGAS VALLEY DENTAL GROUP
National Provider Directory
National Provider DirectoryLocations
2001 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 366-1407
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1023200052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1255427142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 MICHELLE",
"address_2": "2ND FLOOR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061009",
"telephone_number": "714-508-3600",
"fax_number": "714-368-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022228",
"telephone_number": "702-366-1407",
"fax_number": "702-853-0533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARIFIAN CHARLESTON DENTAL GROUP, PC, A NEVADA PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "SHARIFIAN",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER DDS",
"authorized_official_telephone_number": "702-650-3232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VEGAS VALLEY DENTAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.