Greta De Fatima Barba – General Practice Dentistry

Key facts

NPI: 1891349239
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 7268 (NV)
Practice address: 3375 E Tropicana Ave Ste F8
Las Vegas, NV 89121-7357
Phone: (702) 964-3626
NPI assigned: Jul 24, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Pham Paradise Smiles Dentistry, PC General Practice Dentistry · Las Vegas, NV · NPI 1801252325

NPD GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NV
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20191017002503	NV	Order and Referring Only - Dentist Practitioner - Dentist	1951632249

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
7268	NV	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Pham Paradise Smiles Dentistry, PC	General Practice	Current since Jun 21, 2022	Accepting new patients

Locations

3375 E Tropicana Ave
Ste F8
Las Vegas, NV 89121
Phone (702) 964-3626

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	7268	NV
General Practice Dentistry	1223G0001X	7268	NV	Yes

Addresses

Primary practice location

3375 E Tropicana Ave Ste F8
Las Vegas, NV 89121-7357

Mailing address

4300 El Como Way
Las Vegas, NV 89121-6653
Phone (702) 465-9628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2019.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1891349239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 EL COMO WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216653",
            "telephone_number": "702-465-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 E TROPICANA AVE STE F8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217357",
            "telephone_number": "702-964-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBA",
        "first_name": "GRETA",
        "middle_name": "DE FATIMA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7268",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · General Practice Dentistry in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.