Active NPI
Arash Farhadian, D.M.D.
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1508595661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7640TU
- Practice address
- 1700 West Charleston Boulevard
Las Vegas, NV 89102 - Phone
- (702) 774-2690
- NPI assigned
- Jun 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7640TU | NV | Primary |
Addresses
Primary practice location
1700 West Charleston Boulevard
Las Vegas, NV 89102
Mailing address
208-908 Clarke Road
Port Moody, BRITISH COLUMBIA V3H 1L8
CA
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7640TU | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1508595661",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "208-908 CLARKE ROAD",
"city": "PORT MOODY",
"state": "BRITISH COLUMBIA",
"postal_code": "V3H 1L8"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WEST CHARLESTON BOULEVARD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-774-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHADIAN",
"first_name": "ARASH",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7640TU",
"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 Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.