Active NPI
Mohamed Hamza
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1871202333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7733
- Practice address
- 669 N Stephanie St
Henderson, NV 89014-2634 - Phone
- (725) 208-4157
- NPI assigned
- Nov 23, 2022
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7733 | NV | Primary |
Addresses
Primary practice location
669 N Stephanie St
Henderson, NV 89014-2634
Mailing address
918 Bedford Rd
Las Vegas, NV 89107-4420
Phone (725) 200-9690
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7733 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1871202333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 BEDFORD RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891074420",
"telephone_number": "725-200-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 N STEPHANIE ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142634",
"telephone_number": "725-208-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMZA",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.