Individual provider Active NPI

Gilberto Suarez Jr., DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1619992674
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2866 Issued in NV
Practice address
7312 W Cheyenne Ave Ste 4
Las Vegas, NV 89129-7425
Phone
(702) 877-9977
Fax
(702) 899-5501
NPI assigned
Jul 12, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2866 NV Primary

Addresses

Primary practice location

7312 W Cheyenne Ave Ste 4
Las Vegas, NV 89129-7425

Mailing address

7312 W Cheyenne Ave Ste 4
Las Vegas, NV 89129-7425
Phone (702) 877-9977

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
I20160113003119 NV Practitioner - Oral Surgery 4082839170 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2866NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gurpreet Khairah DDS PLLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1619992674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 W CHEYENNE AVE STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297425",
            "telephone_number": "702-877-9977",
            "fax_number": "702-899-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 W CHEYENNE AVE STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297425",
            "telephone_number": "702-877-9977",
            "fax_number": "702-899-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "GILBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.