Sally Ly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7071 Issued in NV

Practice address

6180 N Decatur Blvd Ste 100
Las Vegas, NV 89130-1505

Phone

(702) 359-3107

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faddis Dentists of North Las Vegas, PC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1255866158
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1679068498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 N DECATUR BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301505",
            "telephone_number": "702-359-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 N DECATUR BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301505",
            "telephone_number": "702-359-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 N Decatur Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891312993",
            "country_code": "US",
            "telephone_number": "702-577-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Ly, OD
• Hung Ly, PHARMD
• Huy Thanhtuan Ly, MD
• Linda Kim Ly, PA-C
• Patty Ly
• Sico Ly, OTR/L
• Tatiana Ly
• The Hong Ly
• Van Duc Ly
• Russell Brock Lybarger

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.