Active NPI
Tazeen Shazreh Ahmed, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1538680491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6912
- Practice address
- 7125 N Durango Dr
Las Vegas, NV 89149-4466 - Phone
- (702) 658-2311
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6912 | NV | Primary |
Addresses
Primary practice location
7125 N Durango Dr
Las Vegas, NV 89149-4466
Mailing address
564 Bachelor Button St
Las Vegas, NV 89138-6078
Phone (702) 683-8053
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 |
|---|---|---|---|
| 6912 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watanabe Town Center Dental Group, Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1104954833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1538680491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 BACHELOR BUTTON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386078",
"telephone_number": "702-683-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 N DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494466",
"telephone_number": "702-658-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "TAZEEN",
"middle_name": "SHAZREH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6912",
"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 Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.