Active NPI
Sean S Mohtashami, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1386762201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3059
- Practice address
- 7510 W Sahara Ave
Las Vegas, NV 89117-2742 - Phone
- (702) 220-6666
- Fax
- (702) 220-8050
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3059 | NV | Primary |
Addresses
Primary practice location
7510 W Sahara Ave
Las Vegas, NV 89117-2742
Mailing address
7510 W Sahara Ave
Las Vegas, NV 89117-2742
Phone (702) 220-6666
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean S Mohtashami DDS Inc | General Practice | Current | Accepting new patients |
| All Bright Family Dentistry, LLC | General Practice | Past | Accepting new patients |
| All Bright Family Dentistry, LLC | General Practice | Past | Accepting new patients |
Locations
3918 Long Beach Blvd
Ste 200
Long Beach, CA 90807
Phone (562) 242-2075
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1033934229
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1023834165
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1053127308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1386762201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172742",
"telephone_number": "702-220-6666",
"fax_number": "702-220-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7510 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172742",
"telephone_number": "702-220-6666",
"fax_number": "702-220-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHTASHAMI",
"first_name": "SEAN",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "3059",
"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 Nov 25, 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.