NPIMap

Organization Active NPI

Sahara Dental Summerlin

Doing business as Sahara Dental Professionals

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1598181554
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4514 Issued in NV
Legal business name
SAHARA DENTAL SUMMERLIN
Doing business as
Sahara Dental Professionals
Practice address
9690 W Tropicana Ave
Ste #110B
Las Vegas, NV 89147
Phone
(702) 433-8400
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHARA DENTAL PROFESSIONALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Shiva Keshmiri, DDSNPI 1174683585
Title
General Dentist
Phone
(702) 257-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4514 NV Primary

Addresses

Primary practice location

9690 W Tropicana Ave
Ste #110B
Las Vegas, NV 89147

Mailing address

9690 W Tropicana Ave
Ste #110B
Las Vegas, NV 89147
Phone (702) 433-8400

Other names 1

  • Sahara Dental Professionals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sahara Dental Summerlin3 organizations share this tax ID, including this one
Part of
Sahara Dental Summerlin

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9690 W Tropicana Ave
Ste 110B
Las Vegas, NV 89147
Phone (702) 433-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1598181554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 W TROPICANA AVE",
            "address_2": "STE #110B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-433-8400",
            "fax_number": "702-434-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 W TROPICANA AVE",
            "address_2": "STE #110B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-433-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA DENTAL SUMMERLIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHARA DENTAL PROFESSIONALS",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "KESHMIRI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "702-257-9090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.