Individual provider Active NPI

Maryam Sina, DDS

  • Dentist
  • Henderson, NV
National Provider Identifier
1457625832
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
S6-21 Issued in NV
Practice address
2551 N Green Valley Pkwy
BLDG a Suite 400
Henderson, NV 89014-0272
Phone
(702) 458-6684
Fax
(702) 450-9498
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X S6-21 NV Primary

Addresses

Primary practice location

2551 N Green Valley Pkwy
BLDG a Suite 400
Henderson, NV 89014-0272

Mailing address

2551 N Green Valley Pkwy
BLDG a Suite 400
Henderson, NV 89014-0272
Phone (702) 458-6684

Other identifiers 1

IdentifierTypeStateIssuer
1104879717MedicaidNV

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

State licenses

LicenseStateTypeSpecialty
S6-21NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryam Sina DDS LTD Past Accepting new patients
Maryam Sina Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1457625832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY",
            "address_2": "BLDG A SUITE 400",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-458-6684",
            "fax_number": "702-450-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY",
            "address_2": "BLDG A SUITE 400",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-458-6684",
            "fax_number": "702-450-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINA",
        "first_name": "MARYAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "S6-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104879717",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.