Individual provider Active NPI

Feras Hijazi, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1578345799
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7920 Issued in NV
Practice address
7608 Bauble Ave
Las Vegas, NV 89128-2617
Phone
(702) 504-2195
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 7920 NV Primary

Addresses

Primary practice location

7608 Bauble Ave
Las Vegas, NV 89128-2617

Mailing address

7608 Bauble Ave
Las Vegas, NV 89128-2617
Phone (702) 504-2195

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
I20240129004235 NV Order and Referring Only - DentistPractitioner - Dentist 2961855622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1578345799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 BAUBLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282617",
            "telephone_number": "702-504-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 BAUBLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282617",
            "telephone_number": "702-504-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "FERAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.