Ghazal Las Vegas Modern Smiles Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GHAZAL LAS VEGAS MODERN SMILES DENTISTRY, PC

Practice address

3119 N Rainbow Blvd
Las Vegas, NV 89108-4578

Phone

(702) 342-1604

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Carolyn Ghazal

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corneliu Sima, DMD MSC DSC

  • Periodontics
  • Reno, NV
  • NPI 1063809101
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1467928952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 N RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-342-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZAL LAS VEGAS MODERN SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilit Gharibyan
• Hussein Ghasham, DO
• Michael Nickrooz Ghassemlou
• Priyanka Ghatti, DO
• Farshid Ghavasiyeh, THERAPIST
• Ghazal Parkway Modern Dentistry, PC
• Kristian Nicole Ghazal
• Alena Ghazanchyan
• Lusine Ghazanchyan
• Asfaha Ghebreigziabher

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.