Nishan M. Odabashian, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

39317 Issued in CA

Practice address

3975 S Durango Dr
Suite 107
Las Vegas, NV 89147-4156

Phone

(702) 367-3636

NPI assigned

Aug 16, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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.

• Robert a. Smith, DMD Inc.

  • Endodontics
  • Bakersfield, CA
  • NPI 1780754382
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1841482494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042850",
            "telephone_number": "661-322-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 S DURANGO DR",
            "address_2": "SUITE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474156",
            "telephone_number": "702-367-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODABASHIAN",
        "first_name": "NISHAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Jan Madarang Ocreto, BSN-RN
• Rosanna R Octaviano, APN
• Oczella Medical Group LLP
• Oczella Medical Group LLP
• Jazmine Oda
• Rosemary Jo-Mei Odders, DPT
• Eleanor Morandarte Odeane
• Maysoon Odeesho
• Elisha Odegard, LMFT-I
• Omotayo Tunde Odegbesan

• Endodontics in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.