Active NPI
Conner Paul, DMD
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1639861883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7992
- Practice address
- 5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986 - Phone
- (702) 641-8868
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7992 | NV | Primary |
Addresses
Primary practice location
5061 E Sahara Ave Ste 1a
Las Vegas, NV 89142-2986
Mailing address
1001 Shadow LN
Las Vegas, NV 89106-4124
Other practice location 1
5205 S Durango Dr Ste 103
Las Vegas, NV 89113-0179
Phone (702) 903-7550
Other practice location 2
2337 E Bonanza Rd
Las Vegas, NV 89101-3418
Phone (702) 820-5370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7992 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1639861883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5061 E SAHARA AVE STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891422986",
"telephone_number": "702-641-8868"
}
],
"practiceLocations": [
{
"address_1": "5205 S Durango Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891130179",
"country_code": "US",
"telephone_number": "702-903-7550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2337 E Bonanza Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891013418",
"country_code": "US",
"telephone_number": "702-820-5370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "CONNER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7992",
"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 May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.