Individual provider Active NPI

Aaron Joseph Osga, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1275897332
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7042 Issued in NV
Practice address
8035 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6495
Phone
(702) 896-7211
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2016031541 MO
General Practice Dentistry 1223G0001X 019.029595 IL
General Practice Dentistry 1223G0001X 7042 NV Primary

Addresses

Primary practice location

8035 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6495

Mailing address

8035 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6495
Phone (702) 896-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002688 IL Order and Referring Only - DentistPractitioner - Dentist 1153611983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016031541MOMDDentist
019.029595ILMDGeneral Practice Dentistry
7042NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1275897332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396495",
            "telephone_number": "702-896-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396495",
            "telephone_number": "702-896-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGA",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016031541",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029595",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.