NPIMap

Organization Active NPI

Pouya Momtaz DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Las Vegas, NV
National Provider Identifier
1417460411
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-304 Issued in NV
Legal business name
POUYA MOMTAZ DMD PLLC
Practice address
445 W Craig Rd Ste 121
North Las Vegas, NV 89032-1232
Phone
(702) 399-9118
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Pouya Momtaz, DMD, MS
Title
Orthodontist
Phone
(702) 546-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-304 NV Primary

Addresses

Primary practice location

445 W Craig Rd Ste 121
North Las Vegas, NV 89032-1232

Mailing address

445 W Craig Rd Ste 121
North Las Vegas, NV 89032-1232
Phone (702) 399-9118

Other names 1

  • Align Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pouya Momtaz DMD PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

445 W Craig Rd
Ste 121
North Las Vegas, NV 89032
Phone (702) 399-9118

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1417460411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W CRAIG RD STE 121",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321232",
            "telephone_number": "702-399-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W CRAIG RD STE 121",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321232",
            "telephone_number": "702-399-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUYA MOMTAZ DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "MOMTAZ",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "702-546-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2020; 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.