Individual provider Active NPI

Michelle Farnoush, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1376068601
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6948 Issued in NV
Practice address
2095 Village Center Cir Ste 110
Las Vegas, NV 89134-6253
Phone
(702) 240-0400
Fax
(702) 240-0400
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6948 NV Primary

Addresses

Primary practice location

2095 Village Center Cir Ste 110
Las Vegas, NV 89134-6253

Mailing address

8650 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4106
Phone (702) 869-0032

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
6948NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Isleepsolutions, LLC CurrentSince Jun 22, 2021 Accepting new patients
Pamela J. West, D.D.S., LTD. General Practice PastSince Jun 22, 2021 Accepting new patients

Locations

2095 Village Center Cir
Ste 110
Las Vegas, NV 89134
Phone (702) 240-0400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1376068601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174106",
            "telephone_number": "702-869-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 VILLAGE CENTER CIR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346253",
            "telephone_number": "702-240-0400",
            "fax_number": "702-240-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNOUSH",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6948",
            "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 May 28, 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.

Verify at the official NPI Registry.