Shahrestani Shadow Mountain Smiles Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHAHRESTANI SHADOW MOUNTAIN SMILES DENTISTRY, PC

Practice address

6485 N Decatur Blvd Ste 150
Las Vegas, NV 89131-2989

Phone

(702) 846-5745

Fax

(702) 832-1495

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Shahrestani

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Corneliu Sima, DMD MSC DSC

  • Periodontics
  • Reno, NV
  • NPI 1063809101
  NPD (past)
• David Eleazer Somoza-Valle, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1578118758
  NPD (past)
• Anne Vu Tran, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1265037865
  NPD (past)
• Hoi Chan Elton Yeung, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1063369411
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1609331826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 N DECATUR BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312989",
            "telephone_number": "702-846-5745",
            "fax_number": "702-832-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRESTANI SHADOW MOUNTAIN SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saadia Shahnawaz
• Shahrestani Canyon Pointe Dental Group PC (Canyon Pointe Dental Group)
• Shahrestani Grand Canyon Modern Dentistry, PC
• Shahrestani Las Vegas Modern Dentistry, PC (Las Vegas Modern Dentistry)
• Shahrestani Rancho Smiles Dentistry, PC (Rancho Smiles Dentistry)
• Shahrestani Sunrise Modern Dentistry, PC (Shahrestani Sunrise Modern Dentistry)
• Ali Shahrestani, DDS
• Arezo Shahrestani
• Asher Shahzad, M.D
• Mohammad Fahad Bin Shahzad

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.