Organization Active NPI

Behzad Garagozloo DDS LTD

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1619112992
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
S7-64 Issued in NV
Legal business name
BEHZAD GARAGOZLOO DDS LTD
Practice address
1215 S Fort Apache Rd
#230
Las Vegas, NV 89117-5488
Phone
(702) 437-1007
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dr. Behzad Garagozloo, D.D.S.NPI 1912127895
Title
President
Phone
(702) 321-8602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X S7-64 NV Primary
Dental Clinic/Center 261QD0000X 8884 AZ

Addresses

Primary practice location

1215 S Fort Apache Rd
#230
Las Vegas, NV 89117-5488

Mailing address

10236 Duchess of York Ave
Las Vegas, NV 89166-6532
Phone (702) 321-8602

National Provider Directory

National Provider Directory

Locations

1215 S Fort Apache Rd
Ste 230
Las Vegas, NV 89117
Phone (702) 437-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1619112992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10236 DUCHESS OF YORK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666532",
            "telephone_number": "702-321-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S FORT APACHE RD",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175488",
            "telephone_number": "702-437-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD GARAGOZLOO DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GARAGOZLOO",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-321-8602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "S7-64",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "8884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 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.