Individual provider Active NPI

Henna Ambesh

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1962263327
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8255 Issued in NV
Practice address
8370 W Cheyenne Ave Ste 103
Las Vegas, NV 89129-2174
Phone
(360) 536-7522
Fax
(702) 984-7566
NPI assigned
Jan 22, 2024
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8255 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

8370 W Cheyenne Ave Ste 103
Las Vegas, NV 89129-2174

Mailing address

8370 W Cheyenne Ave Ste 103
Las Vegas, NV 89129-2174
Phone (360) 536-7522

Other practice location 1

UCSF Dental Center
707 Parnassus Avenue
San francisco, CA 94143
Phone (415) 502-5800

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

LicenseStateTypeSpecialty
8255NVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1962263327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 W CHEYENNE AVE STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292174",
            "telephone_number": "360-536-7522",
            "fax_number": "702-984-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W CHEYENNE AVE STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292174",
            "telephone_number": "360-536-7522",
            "fax_number": "702-984-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UCSF Dental Center",
            "address_2": "707 Parnassus Avenue",
            "address_purpose": "LOCATION",
            "city": "San francisco",
            "state": "CA",
            "postal_code": "94143",
            "country_code": "US",
            "telephone_number": "415-502-5800",
            "fax_number": "415-476-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBESH",
        "first_name": "HENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8255",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 18, 2025; 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.