Shiva Keshmiri DDS (PC)

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4514 Issued in NV

Legal business name

SHIVA KESHMIRI DDS (PC)

Doing business as

Sahara Dental Professionals

Practice address

4121 W Sahara Ave
Las Vegas, NV 89102-3704

Phone

(702) 257-9090

Fax

(702) 873-7263

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shiva Keshmiri, DDS

Title

President

Phone

(702) 257-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sahara Dental Professionals Doing business as

Tax ID family

Shiva Keshmiri DDS a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sahara Dental Summerlin

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1598181554
  NPD tax ID
• Shiva Keshmiri DDS a Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1063929172
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Crosby Cansler, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1801931761
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1396913760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023704",
            "telephone_number": "702-257-9090",
            "fax_number": "702-873-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023704",
            "telephone_number": "702-257-9090",
            "fax_number": "702-873-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA KESHMIRI DDS (PC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KESHMIRI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-257-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511059",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katha Shirley
• Robert Shirley
• Shekesha Shirley
• Robert A Shiroff, MD
• Mahsa Jane Shishavi, LPN
• Shiva Keshmiri DDS a Professional Corporation
• Jordan Tyler Shively, D.O.
• Monique Shivers-Guevara
• SHM Management, LLC
• Shma Support Services, LLC

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.