Active NPI
Sam Faranesh DMD, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Henderson, NV
National Provider Identifier
1356925796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SAM FARANESH DMD, PC
- Practice address
- 2843 Saint Rose Pkwy Ste 100
Henderson, NV 89052-4814 - Phone
- (702) 492-1955
- Fax
- (702) 492-7663
- NPI assigned
- May 11, 2021
- 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
- Samer Faranesh, DMD
- Title
- President
- Phone
- (702) 812-1316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2843 Saint Rose Pkwy Ste 100
Henderson, NV 89052-4814
Mailing address
8184 Tone St
Las Vegas, NV 89123-0215
Phone (702) 812-1316
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Denver, CO
- NPI 1861932634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620691200000",
"number": "1356925796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8184 TONE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891230215",
"telephone_number": "702-812-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 SAINT ROSE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524814",
"telephone_number": "702-492-1955",
"fax_number": "702-492-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM FARANESH DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A",
"authorized_official_last_name": "FARANESH",
"authorized_official_first_name": "SAMER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-812-1316",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.