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SISI BAO DDS
NPI 1588022636
Dentist - Pediatric Dentistry in Las Vegas, NV

Active since February 03, 2016PECOS Enrolled
4380 W CACTUS AVE STE 100, LAS VEGAS, NV 89141(702) 570-0241 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, Feb 3, 2016 (2 updates tracked since 2016).

About Sisi Bao Dds NPPES

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

SISI BAO DDS (NPI 1588022636) is an individual pediatric dentistry provider in Las Vegas, Nevada, licensed in Nevada (S6-218C) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588022636
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSISI BAOCredential: DDS
Location Address4380 W CACTUS AVE STE 100Las Vegas, NV 89141-8926
Mailing Address16259 Aurora Crest DrWhittier, CA 90605-1367
Phone(702) 570-0241
Sole ProprietorYes
Enumeration DateFebruary 3, 2016
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1588022636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NV · S6-218C
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 65346 (CA)
4380 W CACTUS AVE STE 100, Las Vegas, NV 89141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Sisi Bao 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 89141 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 2

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

YU LIM LEE
Dentist (General Practice)
4380 W CACTUS AVE STE 100
LAS VEGAS, NV 89141
Clark County (725) 223-1914
DR. TERRY CHRISTOPHER MEADS JR. DMD
Dentist (Pediatric Dentistry)
4380 W CACTUS AVE STE 100
LAS VEGAS, NV 89141
Clark County (702) 570-0241

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 Sisi Bao's NPI number?

The NPI number for Sisi Bao is 1588022636. It was assigned to this individual provider in the NPPES registry on February 3, 2016.

Where is Sisi Bao located?

Sisi Bao practices at 4380 W Cactus Ave Ste 100, Las Vegas, NV 89141. The listed phone number is (702) 570-0241.

What is Sisi Bao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Sisi Bao enrolled in Medicare?

Yes. Sisi Bao is registered in the Medicare PECOS enrollment system.

What insurance does Sisi Bao accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Sisi Bao 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 Sisi Bao was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.