NPIMap

Organization Active NPI

Dr Anna Shagharyan, DMD, PC

  • Preferred Provider Organization
  • Las Vegas, NV
National Provider Identifier
1366823973
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6646 Issued in NV
Legal business name
DR ANNA SHAGHARYAN, DMD, PC
Practice address
851 S Rampart Blvd
#240
Las Vegas, NV 89145-4882
Phone
(702) 933-1300
Fax
(702) 932-1300
NPI assigned
Jun 10, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Anna Shagharyan, DMDNPI 1780051318
Title
Dentist
Phone
(702) 858-6815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 6646 NV
Preferred Provider Organization 305R00000X 6646 NV Primary

Addresses

Primary practice location

851 S Rampart Blvd
#240
Las Vegas, NV 89145-4882

Mailing address

851 S Rampart Blvd
#240
Las Vegas, NV 89145-4882
Phone (702) 933-1300

National Provider Directory

National Provider Directory

Locations

851 S Rampart Blvd
Ste 240
Las Vegas, NV 89145
Phone (702) 508-6714

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1366823973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD",
            "address_2": "#240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454882",
            "telephone_number": "702-933-1300",
            "fax_number": "702-932-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD",
            "address_2": "#240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454882",
            "telephone_number": "702-933-1300",
            "fax_number": "702-932-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANNA SHAGHARYAN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAGHARYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-858-6815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "6646",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "6646",
            "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 Jun 10, 2015; 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.