OrthodontistIndex

Pawan Gautam, MDS

Orthodontist in Las Vegas, NV

Registered providerLicense # listed (CA)

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Public-record details

Address
210 E Flamingo Rd, Unit 217, Las Vegas, NV 89169
Phone
(760) 447-2655
Listed under
Individual orthodontists
NPI
1053742742
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
Credentials listed
MDS
License number on NPI record
DDS103359 (CA)
NPI first issued
Dec 5, 2013
NPI record last updated
Mar 22, 2019

NPI 1053742742 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license DDS103359 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-12.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1053742742 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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