Individual provider Active NPI

Fahad Ashraf Dar, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1629562533
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7065 Issued in NV
Practice address
10435 S Rainbow Blvd Ste A105
Las Vegas, NV 89178-4007
Phone
(951) 905-4264
NPI assigned
Jun 15, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7065 NV Primary

Addresses

Primary practice location

10435 S Rainbow Blvd Ste A105
Las Vegas, NV 89178-4007

Mailing address

10435 S Rainbow Blvd Ste A105
Las Vegas, NV 89178-4007
Phone (951) 905-4264

Other practice location 1

2380 Via Inspirada Ste 100
Henderson, NV 89044-1853
Phone (702) 983-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7065NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dar and Shah PLLC Dentist Current Accepting new patients
Watanabe Town Center Dental Group, Professional Corporation Past Accepting new patients

Organizations & group practices 2

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1629562533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 S RAINBOW BLVD STE A105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784007",
            "telephone_number": "951-905-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 S RAINBOW BLVD STE A105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784007",
            "telephone_number": "951-905-4264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Via Inspirada Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890441853",
            "country_code": "US",
            "telephone_number": "702-983-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAR",
        "first_name": "FAHAD",
        "middle_name": "ASHRAF",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7065",
            "primary": true
        }
    ],
    "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 Oct 5, 2026; 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.