Active NPI
Joanna Shen
- Dentist
- Las Vegas, NV
National Provider Identifier
1861046872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7275
- Practice address
- 1150 S Nellis Blvd Ste 200
Las Vegas, NV 89104-5700 - Phone
- (702) 505-9159
- Fax
- (702) 505-9159
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7275 | NV | Primary |
Addresses
Primary practice location
1150 S Nellis Blvd Ste 200
Las Vegas, NV 89104-5700
Mailing address
8324 W Charleston Blvd Unit 1046
Las Vegas, NV 89117-9203
Phone (626) 203-7454
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1861046872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8324 W CHARLESTON BLVD UNIT 1046",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891179203",
"telephone_number": "626-203-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S NELLIS BLVD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045700",
"telephone_number": "702-505-9159",
"fax_number": "702-505-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "JOANNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7275",
"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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.