Individual provider Active NPI

Charles V Buchanan, DMD

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1407429889
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7515 Issued in NV
Practice address
5465 Simmons St
North Las Vegas, NV 89031-9000
Phone
(702) 638-1005
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7515 NV Primary

Addresses

Primary practice location

5465 Simmons St
North Las Vegas, NV 89031-9000

Mailing address

5465 Simmons St Ste 4
North Las Vegas, NV 89031-9001
Phone (702) 638-1005

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
7515NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan Dentistry LLC CurrentSince May 4, 2025 Accepting new patients
Hillcrest Dental PastSince Feb 1, 2024 Accepting new patients
Eastern Hills Dental LLC Dentist PastSince Feb 1, 2024 Accepting new patients
Dilettante Inc. Dentist PastSince May 4, 2025 Accepting new patients
Gulati Highlands Dentistry, PC PastSince Jul 1, 2021 Accepting new patients

Locations

5465 Simmons St
Ste 4
North Las Vegas, NV 89031
Phone (702) 638-1005

Organizations & group practices 5

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1407429889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SIMMONS ST STE 4",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319001",
            "telephone_number": "702-638-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SIMMONS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319000",
            "telephone_number": "702-638-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CHARLES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 1, 2025; 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.