Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VIVEK GANDOTRA DDS
NPI 1013054931
Dentist in Las Vegas, NV

Q: What is Vivek Gandotra's NPI number?

The NPI number for Vivek Gandotra is 1013054931. It was assigned to this individual provider in the NPPES registry on January 31, 2007. The provider is also known as Mountain Crest Dental.

Q: What is Vivek Gandotra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Vivek Gandotra was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007PECOS Enrolled

4425 S PECOS RD STE 1, LAS VEGAS, NV 89121(702) 333-4747(702) 552-8122 Get Directions Write a Review

NPPES record last updated: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Vivek Gandotra Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVEK GANDOTRA DDS (NPI 1013054931) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (6024) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013054931

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. VIVEK GANDOTRACredential: DDS

Location Address4425 S PECOS RD STE 1Las Vegas, NV 89121-5039

Mailing Address4425 S Pecos Rd Ste 1Las Vegas, NV 89121-5039 · (702) 333-4747 · Fax (702) 552-8122

Phone(702) 333-4747

Fax(702) 552-8122

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateSeptember 26, 2026

NPPES CertifiedSeptember 26, 2026

✔ NPI 1013054931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 6024

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4425 S PECOS RD STE 1, Las Vegas, NV 89121

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Other Names 1

Other Name (5)Mountain Crest Dental

Other Identifiers 1

Medicaid100504768NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vivek Gandotra Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivek Gandotra's NPI number?

The NPI number for Vivek Gandotra is 1013054931. It was assigned to this individual provider in the NPPES registry on January 31, 2007. The provider is also known as Mountain Crest Dental.

Where is Vivek Gandotra located?

Vivek Gandotra practices at 4425 S Pecos Rd Ste 1, Las Vegas, NV 89121. The listed phone number is (702) 333-4747.

What is Vivek Gandotra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vivek Gandotra enrolled in Medicare?

Yes. Vivek Gandotra is registered in the Medicare PECOS enrollment system.

What insurance does Vivek Gandotra accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Vivek Gandotra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivek Gandotra was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.