Jacob Jonathan Lavi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4735T Issued in NV

Practice address

2175 E Cheyenne Ave Ste 100
N Las Vegas, NV 89030-8438

Phone

(702) 363-8889

Fax

(702) 566-8883

NPI assigned

Aug 9, 2008

Sex

Male

Sole proprietor

Yes

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.

• Tingfafa LLC

  • Dental Clinic/Center
  • North Las Vegas, NV
  • NPI 1811153240
  NPD (past)

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218240000000",
    "number": "1801042817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18034 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163516",
            "telephone_number": "310-404-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 E CHEYENNE AVE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890308438",
            "telephone_number": "702-363-8889",
            "fax_number": "702-566-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVI",
        "first_name": "JACOB",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4735T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armando Lanzanas
• Chad William Larson, LCSW, CSAC, ICS
• Robert Larson, D.P.M.
• Chelsea Lasarte
• Eugena Laurel
• Dionne Lawson-Deloatche
• Janessa Layne
• Joan S Leaks, MD
• Lee MLK Dental Group, PC
• Lee Peter Enterprise LLC

• General Practice Dentistry in N Las Vegas, NV
• Providers in N 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 Aug 9, 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.

Verify at the official NPI Registry.