Individual provider Active NPI

Tammy Maria Sarles, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1942496229
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5558 Issued in NV
Practice address
8650 Spring Mountain Rd
Las Vegas, NV 89117-4105
Phone
(702) 869-0032
Fax
(702) 940-1178
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5558 NV Primary

Addresses

Primary practice location

8650 Spring Mountain Rd
Las Vegas, NV 89117-4105

Mailing address

11179 La Madre Ridge Dr
Las Vegas, NV 89135-1825
Phone (702) 501-0835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129002283 NV Order and Referring Only - DentistPractitioner - Dentist 6002119781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1942496229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11179 LA MADRE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351825",
            "telephone_number": "702-501-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174105",
            "telephone_number": "702-869-0032",
            "fax_number": "702-940-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLES",
        "first_name": "TAMMY",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.