Individual provider Active NPI

Saoly X Benson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1427330554
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-272 Issued in NV
Practice address
5980 S Durango Dr Ste 124
Las Vegas, NV 89113-1775
Phone
(702) 800-4698
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6177 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3-272 NV Primary

Addresses

Primary practice location

5980 S Durango Dr Ste 124
Las Vegas, NV 89113-1775

Mailing address

1452 W Horizon Ridge Pkwy # 653
Henderson, NV 89012-4422
Phone (253) 985-3120

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6177NVMDDentist
S3-272NVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Saoly Benson DDS Ms Prof. Corp. Orthodontics and Dentofacial Orthopedics CurrentSince Dec 22, 2024 Accepting new patients

Locations

375 N Stephanie St
Ste 611
Henderson, NV 89014
Phone (702) 803-1825

1452 W Horizon Ridge Pkwy
#653
Henderson, NV 89012

5980 S Durango Dr
Ste 124
Las Vegas, NV 89113
Phone (702) 800-4698

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1427330554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W HORIZON RIDGE PKWY # 653",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124422",
            "telephone_number": "253-985-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S DURANGO DR STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131775",
            "telephone_number": "702-800-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "SAOLY",
        "middle_name": "X",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6177",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.