SHAHRESTANI CANYON POINTE DENTAL GROUP PC (NPI# 1750571535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750571535 |
| Entity Type | Organization |
| Organization Name | SHAHRESTANI CANYON POINTE DENTAL GROUP PC |
| Other Organization Name | CANYON POINTE DENTAL GROUP |
| Practice Address |
10870 W Charleston Blvd Ste 170 Las Vegas NV 89135-1158 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7022546412 |
| Practice Fax Number | 7022549558 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DR. ALI SHAHRESTANI (OWNER) |
| Authorized Official Telephone | 7022546412 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Canyon Pointe Dental Group | Doing Business As Name - Organization |
| Street Address |
10870 W CHARLESTON BLVD STE 170 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780050971 | Spencer J Faddis | Dentist | 10870 W Charleston Blvd, 170, Las Vegas, NV 89135-1158 | 2015-08-11 |
| 1407160351 | Nadia Roshan | Optometrist | 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 | 2010-08-03 |
| 1073824629 | Andrea Christine Radtke | Optometrist | 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.