Active NPI
Sharam Ghodsi D D S Inc
Doing business as Lasting Smiles Dental Care
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1447336086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- NV3185
- Legal business name
- SHARAM GHODSI D D S INC
- Doing business as
- Lasting Smiles Dental Care
- Practice address
- 4011 Meadows LN
#101
Las Vegas, NV 89107 - Phone
- (702) 259-5295
- Fax
- (702) 259-6595
- NPI assigned
- Oct 27, 2006
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharam Ghodsi, DDS
- Title
- President
- Phone
- (702) 809-3762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NV3185 | NV | Primary |
Addresses
Primary practice location
4011 Meadows LN
#101
Las Vegas, NV 89107
Mailing address
4011 Meadows LN
#101
Las Vegas, NV 89107
Phone (702) 259-5295
Other names 1
- Lasting Smiles Dental Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4011 Meadows Ln
Ste 101
Las Vegas, NV 89107
Phone (702) 259-5295
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Las Vegas, NV
- NPI 1427283670
-
- Dentist
- Las Vegas, NV
- NPI 1659899581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1447336086",
"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": "89107",
"telephone_number": "702-259-5295",
"fax_number": "702-259-6595"
},
{
"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": "89107",
"telephone_number": "702-259-5295",
"fax_number": "702-259-6595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARAM GHODSI D D S INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "GHODSI",
"authorized_official_first_name": "SHARAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-809-3762",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "NV3185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lasting Smiles Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.