Organization Active NPI

Shiraz Dental, LLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1295145852
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4565 Issued in NV
Legal business name
SHIRAZ DENTAL, LLC
Doing business as
Preferred Family Dentistry
Practice address
4510 S Eastern Ave Ste 2
Las Vegas, NV 89119-6118
Phone
(702) 368-0911
Fax
(702) 734-6884
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Ms. Salmeh Jafarifar, DDS
Title
Dentist/Owner
Phone
(702) 236-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4565 NV Primary

Addresses

Primary practice location

4510 S Eastern Ave Ste 2
Las Vegas, NV 89119-6118

Mailing address

4510 S Eastern Ave Ste 2
Las Vegas, NV 89119-6118
Phone (702) 368-0911

Other names 1

  • Preferred Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1295145852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "702-368-0911",
            "fax_number": "702-734-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "702-368-0911",
            "fax_number": "702-734-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRAZ DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "JAFARIFAR",
        "authorized_official_first_name": "SALMEH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "702-236-5010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Family Dentistry",
            "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 May 5, 2014; 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.