Active NPI
Michael Cao, DMD
- Pediatric Dentistry
- Las Vegas, NV
National Provider Identifier
1679020622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- S
- Practice address
- 8380 W Cheyenne Ave Ste 104
Las Vegas, NV 89129-2175 - Phone
- (702) 733-0888
- Fax
- (702) 395-8718
- NPI assigned
- Sep 7, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | S | NV | Primary |
Addresses
Primary practice location
8380 W Cheyenne Ave Ste 104
Las Vegas, NV 89129-2175
Mailing address
4241 Christy Way
Reno, NV 89519-7905
Other practice location 1
625 Elmwood Ave
Rochester, NY 14620-2913
Phone (585) 275-8315 ext. 58315
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 |
|---|---|---|---|
| S | NV | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1679020622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 CHRISTY WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895197905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 W CHEYENNE AVE STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891292175",
"telephone_number": "702-733-0888",
"fax_number": "702-395-8718"
}
],
"practiceLocations": [
{
"address_1": "625 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146202913",
"country_code": "US",
"telephone_number": "585-275-8315 x58315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NV",
"license": "S",
"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 Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.