Individual provider Active NPI

Amanpreet K Bath, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1558916775
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7273 Issued in NV
Practice address
945 S Rainbow Blvd
Las Vegas, NV 89145-6230
Phone
(702) 331-8585
Fax
(702) 822-2465
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7273 NV Primary

Addresses

Primary practice location

945 S Rainbow Blvd
Las Vegas, NV 89145-6230

Mailing address

2250 S Rancho Dr Ste 205
Las Vegas, NV 89102-4456
Phone (702) 291-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815001649 NV Order and Referring Only - DentistPractitioner - Dentist 6800395047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo215Dental LLC CurrentSince Aug 3, 2025 Accepting new patients
New Mexico Dentistry Prada, PLLC CurrentSince Oct 10, 2021 Accepting new patients
Southern Nevada Specialty Prada, PLLC PastSince Aug 11, 2019 Accepting new patients

Locations

6530 S Buffalo Dr
Ste 105
Las Vegas, NV 89113
Phone (702) 505-9199

2250 S Rancho Dr
Ste 205
Las Vegas, NV 89102
Phone (360) 536-7522

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1558916775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S RANCHO DR STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024456",
            "telephone_number": "702-291-2031",
            "fax_number": "702-984-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456230",
            "telephone_number": "702-331-8585",
            "fax_number": "702-822-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "AMANPREET",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.