Sharam Ghodsi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3185 Issued in NV

Practice address

4011 Meadows LN
101
Las Vegas, NV 89107-3101

Phone

(702) 259-5295

NPI assigned

May 18, 2009

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sharam Ghodsi D D S Inc

  dba Lasting Smiles Dental Care

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1447336086
  Medicare reassignment NPD Authorized official
• Infinite Dental Alliance, Inc

  dba Lasting Smiles Dental Implant Center

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1760294722
  NPD Authorized official
• Lasting Smiles of West Covina

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1144152331
  NPD Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1427283670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 MEADOWS LN",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073101",
            "telephone_number": "702-259-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 MEADOWS LN",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073101",
            "telephone_number": "702-259-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODSI",
        "first_name": "SHARAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conor Ghobrial
• Michael Gergis Ghobrial, MD
• Pierre Bassem Boulos Ghobrial, DMD
• Youssef Ghobrial
• Soheila Ghods
• Rashin Gholamrezaee, MD
• Afshin Gholamrezaei
• Shannon Gholston, CPC-I
• Amrapali Ghosh
• Marc Ghosn

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.