Individual provider Active NPI

Benjamin Abrahams, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1700472602
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7424TU Issued in NV
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7424TUNVMDDentist
7424NVMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.