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WANNI LIE
NPI 1073042446
Dentist - General Practice in Las Vegas, NV

Active since June 08, 2017PECOS Enrolled
10870 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89135(702) 254-6412 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanni Lie NPPES

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

WANNI LIE (NPI 1073042446) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (6920) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073042446
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameWANNI LIE
Location Address10870 W CHARLESTON BLVD STE 170Las Vegas, NV 89135-1170
Mailing Address1504 Truett St Unit 101Las Vegas, NV 89128-8074
Phone(702) 254-6412
Sole ProprietorYes
Enumeration DateJune 8, 2017
✔ NPI 1073042446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 6920
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 6920 (NV)
10870 W CHARLESTON BLVD STE 170, Las Vegas, NV 89135
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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)

Wanni Lie 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 89135 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OMAR S JALALI DMD
Dentist (General Practice)
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 254-6412
JENNIFER BROWN DMD
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 254-6412
DR. GREGORY WALTER GREENWOOD D.M.D.
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 254-6412
ANKIT NAIK DDS
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 850-6522
DR. DO HYEON JANG DDS
Dentist (General Practice)
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (216) 801-7274
DR. CHAD TIMOTHY DAINS D.D.S
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 254-9609
DR. RAUNAK SINGH DDS
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (213) 298-9654
DR. PATRICK S CORPUZ DMD
Dentist
10870 W CHARLESTON BLVD STE 170
LAS VEGAS, NV 89135
Clark County (702) 254-6412

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 Wanni Lie's NPI number?

The NPI number for Wanni Lie is 1073042446. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Wanni Lie located?

Wanni Lie practices at 10870 W Charleston Blvd Ste 170, Las Vegas, NV 89135. The listed phone number is (702) 254-6412.

What is Wanni Lie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Wanni Lie enrolled in Medicare?

Yes. Wanni Lie is registered in the Medicare PECOS enrollment system.

What insurance does Wanni Lie 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 Wanni Lie 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 Wanni Lie was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.