Active NPI
Benjamin Abrahams, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1700472602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7424TU
- Practice address
- 5230 Boulder Hwy Ste 130
Las Vegas, NV 89122-6079 - Phone
- (702) 851-6724
- NPI assigned
- Dec 15, 2020
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7424 | NV | |
| Endodontics | 1223E0200X | 7424 | NV | |
| General Practice Dentistry | 1223G0001X | 7424 | NV | |
| Periodontics | 1223P0300X | 7424 | NV | |
| Prosthodontics | 1223P0700X | 7424 | NV | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7424 | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7424 | NV | |
| Orofacial Pain Dentistry | 1223X2210X | 7424 | NV | |
| Denturist | 122400000X | 7424 | NV | |
| Dentist | 122300000X | 7424TU | NV | Primary |
Addresses
Primary practice location
5230 Boulder Hwy Ste 130
Las Vegas, NV 89122-6079
Mailing address
5230 Boulder Hwy Ste 130
Las Vegas, NV 89122-6079
Phone (702) 851-6724
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 |
|---|---|---|---|
| 7424TU | NV | MD | Dentist |
| 7424 | NV | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Dental Center PLLC | Current | Accepting new patients | |
| Smile Mas Dental Stephanie PLLC | Current | Accepting new patients |
Locations
5230 Boulder Hwy
Ste 130
Las Vegas, NV 89122
Phone (702) 436-6725
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1487362257
-
- Dental Clinic/Center
- Henderson, NV
- NPI 1154298917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1700472602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 BOULDER HWY STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891226079",
"telephone_number": "702-851-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 BOULDER HWY STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891226079",
"telephone_number": "702-851-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMS",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "NV",
"license": "7424",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7424TU",
"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 Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.