DR. NISHAN M. ODABASHIAN (NPI# 1841482494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841482494 |
| Entity Type | Individual |
| Full Name | DR. NISHAN M. ODABASHIAN |
| Credential | DMD, MS |
| Practice Address |
3975 S Durango Dr Suite 107 Las Vegas NV 89147-4156 |
| Mailing Address |
2021 Brundage Ln Bakersfield CA 93304-2850 |
| Practice Telephone | 7023673636 |
| Mailing Telephone | 6613222071 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
39317 | CA | Dental Providers |
| Street Address |
3975 S DURANGO DR SUITE 107 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497968812 | Tim Kuiava | Dentist | 3975 S Durango Dr, Suite 102, Las Vegas, NV 89147-4156 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306186069 | Thomas S. Kintonis | Dentist | 2461 Professional Crt., Las Vegas, NV 89128 | 2013-02-18 |
| 1922371699 | Lvos, LLC | Dentist | 8551 W Lake Mead Blvd Ste 260, Las Vegas, NV 89128-7642 | 2012-02-10 |
| 1023251170 | Adam Joseph Gatan | Dentist | 9550 S. Eastern Ave, #248, Las Vegas, NV 89123 | 2009-04-18 |
| 1447409339 | Carmen Aracely Fernandez | Dentist | 1811 South Rainbow Blvd, Ste. 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
| 1013171701 | Brad Radlosky | Dentist | 10463 Foggy Glen Ave, Las Vegas, NV 89135-1141 | 2008-07-11 |
| 1447429808 | Allen Huang D.m.d., M.s. | Dentist | 2430 E Harmon Ave Ste 6, Las Vegas, NV 89121-5338 | 2008-02-29 |
| 1376712240 | Wei-tze Chen, P.C. | Dentist | 6018 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5611 | 2008-02-26 |
| 1497935563 | Red Rock Endodontics, LLC | Dentist | 9690 W Tropicana Ave Ste 109, Las Vegas, NV 89147-2601 | 2007-11-06 |
| 1225222417 | Pedro Ruiz | Dentist | 8785 W Warm Springs Rd, Suite 108, Las Vegas, NV 89148-1823 | 2007-08-30 |
| 1225229016 | Nevada Endodontics LLC | Dentist | 6950 Smoke Ranch Rd, 125, Las Vegas, NV 89128-1300 | 2007-08-06 |
| 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.