Individual provider Active NPI

Ibrahim Zeitoun

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1457264574
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8459 Issued in NV
Practice address
6325 E Russell Rd Ste 100
Las Vegas, NV 89122-7072
Phone
(313) 797-1077
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8459 NV Primary

Addresses

Primary practice location

6325 E Russell Rd Ste 100
Las Vegas, NV 89122-7072

Mailing address

6452 Jonathon St
Dearborn, MI 48126-2230
Phone (313) 797-1077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1457264574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 JONATHON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262230",
            "telephone_number": "313-797-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 E RUSSELL RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227072",
            "telephone_number": "313-797-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITOUN",
        "first_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8459",
            "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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.