Individual provider Active NPI

Sana Abdula Yassen Alsaiegh

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1396186706
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6386 Issued in NV
Practice address
320 N Nellis Blvd
Suite # 4
Las Vegas, NV 89110-0052
Phone
(702) 453-7200
Fax
(702) 437-4022
NPI assigned
Jul 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6386 NV Primary
Dentist 122300000X 29460 TX

Addresses

Primary practice location

320 N Nellis Blvd
Suite # 4
Las Vegas, NV 89110-0052

Mailing address

161 Derwent PL
Las Vegas, NV 89144-4261
Phone (702) 340-6375

Other names 1

  • Sana Abdula Yassen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513001081 NV Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2062732183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6386NVMDDentist
29460TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Yassen Alsaiegh LLC Dentist Current Accepting new patients

Locations

3774 E Desert Inn Rd
Las Vegas, NV 89121
Phone (702) 257-2872

Organizations & group practices 1

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": "1373673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1396186706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 DERWENT PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444261",
            "telephone_number": "702-340-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N NELLIS BLVD",
            "address_2": "SUITE # 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100052",
            "telephone_number": "702-453-7200",
            "fax_number": "702-437-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSEN ALSAIEGH",
        "first_name": "SANA",
        "middle_name": "ABDULA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-13",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6386",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANA",
            "last_name": "YASSEN",
            "middle_name": "ABDULA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.