NPIMap

Organization Active NPI

Northwest Reno Smiles Dental Group

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1669840468
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6702 Issued in NV
Legal business name
NORTHWEST RENO SMILES DENTAL GROUP
Practice address
5150 Mae Anne Ave
Suite 810a
Reno, NV 89523-1858
Phone
(775) 747-0680
Fax
(775) 747-0681
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Ali Shahrestani, DMD
Title
Owner Doctor
Phone
(702) 413-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6702 NV Primary

Addresses

Primary practice location

5150 Mae Anne Ave
Suite 810a
Reno, NV 89523-1858

Mailing address

5150 Mae Anne Ave
Suite 810a
Reno, NV 89523-1858
Phone (775) 747-0680

Other names 1

  • Pacific Dental Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Reno Smiles Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5150 Mae Anne Ave
Ste 810A
Reno, NV 89523
Phone (775) 747-0680

Practitioners & affiliated clinicians

Practitioners 6

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": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1669840468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE",
            "address_2": "SUITE 810A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231858",
            "telephone_number": "775-747-0680",
            "fax_number": "775-747-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE",
            "address_2": "SUITE 810A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231858",
            "telephone_number": "775-747-0680",
            "fax_number": "775-747-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RENO SMILES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "702-413-3334",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.