Active NPI
Lisa Lam, D.D.S.
- Dentist
- Las Vegas, NV
National Provider Identifier
1356592398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57669
- Practice address
- 7325 S Rainbow Blvd Ste 100
Las Vegas, NV 89139-0420 - Phone
- (707) 979-3068
- Fax
- (707) 979-7262
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57669 | CA | Primary |
Addresses
Primary practice location
7325 S Rainbow Blvd Ste 100
Las Vegas, NV 89139-0420
Mailing address
7325 S Rainbow Blvd Ste 100
Las Vegas, NV 89139-0420
Phone (707) 979-3068
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 |
|---|---|---|---|
| 57669 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa N. Lam, PLLC | Current | Accepting new patients |
Locations
7325 S Rainbow Blvd
Ste 100
Las Vegas, NV 89139
Phone (707) 979-3068
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1356592398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7325 S RAINBOW BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891390420",
"telephone_number": "707-979-3068",
"fax_number": "079-797-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7325 S RAINBOW BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891390420",
"telephone_number": "707-979-3068",
"fax_number": "707-979-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2024-01-31",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57669",
"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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.