Individual provider Active NPI

Mahzarine Irani Rohani

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1366862179
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6667 Issued in NV
Practice address
4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425
Phone
(702) 233-1222
Fax
(702) 233-1250
NPI assigned
Apr 18, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6667 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4161 S Eastern Ave Ste E8
Las Vegas, NV 89119-5425

Mailing address

4161 South Eastern Avenue
Suite E8
Las Vegas, NV 89119
Phone (702) 233-1222

Other practice location 1

290 N Wayte Ln
Fresno, CA 93701-2124
Phone (559) 459-6927

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

LicenseStateTypeSpecialty
6667NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nader Afshari DDS a Dental Venture Inc CurrentSince Jul 24, 2022 Accepting new patients
Harmon and Otteson Dental Eastern LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

4161 S Eastern Ave
Ste E8
Las Vegas, NV 89119
Phone (702) 233-1222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366862179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 SOUTH EASTERN AVENUE",
            "address_2": "SUITE E8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-233-1222",
            "fax_number": "702-233-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE E8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195425",
            "telephone_number": "702-233-1222",
            "fax_number": "702-233-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N Wayte Ln",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012124",
            "country_code": "US",
            "telephone_number": "559-459-6927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRANI ROHANI",
        "first_name": "MAHZARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6667",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 21, 2022; 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.