Shahrestani Sunrise Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAHRESTANI SUNRISE MODERN DENTISTRY, PC

Doing business as

Shahrestani Sunrise Modern Dentistry

Practice address

6775 E Lake Mead Blvd Ste B10
Las Vegas, NV 89156-1190

Phone

(702) 359-7318

Fax

(702) 984-7395

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Shahrestani, DMD

Title

Owner

Phone

(702) 359-7318

Specialties & licenses 1

Addresses

Other names 1

• Shahrestani Sunrise Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1861263097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 E LAKE MEAD BLVD STE B10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891561190",
            "telephone_number": "702-359-7318",
            "fax_number": "702-984-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRESTANI SUNRISE MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-359-7318",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shahrestani Sunrise Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shahrestani Shadow Mountain Smiles Dentistry, PC
• Ali Shahrestani, DDS
• Arezo Shahrestani
• Asher Shahzad, M.D
• Mohammad Fahad Bin Shahzad
• Anaam Shaikh, DO

• General Practice Dentistry in Las Vegas, NV
• Providers in 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 Jan 16, 2024; 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.