Active NPI
Nelson D Lasiter, DMD
- Prosthodontics
- Las Vegas, NV
National Provider Identifier
1730181850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- S5-04
- Practice address
- 2255 Renaissance Dr
Ste B
Las Vegas, NV 89119-6167 - Phone
- (702) 798-1987
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | S5-04 | NV | Primary |
Addresses
Primary practice location
2255 Renaissance Dr
Ste B
Las Vegas, NV 89119-6167
Mailing address
2255 Renaissance Dr
Ste B
Las Vegas, NV 89119-6167
Phone (702) 798-1987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150107001294 | NV | Order and Referring Only - Oral Surgery | 8527381110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730181850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 RENAISSANCE DR",
"address_2": "STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196167",
"telephone_number": "702-798-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 RENAISSANCE DR",
"address_2": "STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196167",
"telephone_number": "702-798-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASITER",
"first_name": "NELSON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NV",
"license": "S5-04",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.