Sisi Bao, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-218C Issued in NV

Practice address

4380 W Cactus Ave Ste 100
Las Vegas, NV 89141-8926

Phone

(702) 570-0241

NPI assigned

Feb 3, 2016

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bao DDS PLLC

  dba Windmill Pediatric Dentistry

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1093581720
  NPD Authorized official
• Gulati Highlands Dentistry, PC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1730714569
  NPD
• A.S.Shah,DMD, Inc.

  dba Absolute Dental Practice

  • Dentist
  • Norco, CA
  • NPI 1508268749
  NPD (past)
• Kalpana Yadav, DDS, a Professional Dental Corp.

  • General Practice Dentistry
  • Norco, CA
  • NPI 1033809280

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1588022636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 AURORA CREST DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 W CACTUS AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418926",
            "telephone_number": "702-570-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "SISI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65346",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-218C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Banzon
• Melvin Banzon
• Bao DDS PLLC (Windmill Pediatric Dentistry)
• Bao Tran MD PLLC
• Phung Bao
• Yijun Bao
• Sharetha S Baptist
• Amy Baptista-Robison
• Danielle Baptiste, LCPC, CPC, NBCC
• Dunn Baptiste

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.