Active NPI
Ghassan Hanna Khalaf, D.D.S.
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1679678387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4289
- Practice address
- 3774 E Desert Inn Rd
Las Vegas, NV 89121-3339 - Phone
- (702) 257-2872
- Fax
- (314) 248-2200
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4289 | NV | Primary |
Addresses
Primary practice location
3774 E Desert Inn Rd
Las Vegas, NV 89121-3339
Mailing address
3774 E Desert Inn Rd
Las Vegas, NV 89121-3339
Phone (650) 740-2200
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 |
|---|---|---|---|
| 4289 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1679678387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3774 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213339",
"telephone_number": "650-740-2200",
"fax_number": "314-248-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3774 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213339",
"telephone_number": "702-257-2872",
"fax_number": "314-248-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALAF",
"first_name": "GHASSAN",
"middle_name": "HANNA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4289",
"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 Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.