TAHOE FACIAL PLASTIC SURGERY PLLC
NPI 1730914433
Otolaryngology - Facial Plastic Surgery in Carson City, NV

Active since September 04, 2024
1600 MEDICAL PKWY, CARSON CITY, NV 89703(530) 721-6052 Get Directions Write a Review

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

About Tahoe Facial Plastic Surgery Pllc NPPES

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

TAHOE FACIAL PLASTIC SURGERY PLLC (NPI 1730914433), doing business as Tahoe Facial Plastic Surgery, is a healthcare organization registered as a facial plastic surgery in Carson City, Nevada and active in the NPI registry since September 2024. The organization lists Benjamin Bradford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730914433
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameTAHOE FACIAL PLASTIC SURGERY PLLC
Location Address1600 MEDICAL PKWYCarson City, NV 89703-4625
Mailing AddressPo Box 11195Zephyr Cove, NV 89448-3195 · (530) 721-6052
Organization SubpartNo
Authorized OfficialBenjamin BradfordCeo · (808) 936-3090
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
NPI 1730914433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedPlastic SurgeryTaxonomy 208200000X
1600 MEDICAL PKWY, Carson City, NV 89703

Other Names 1

Doing Business AsTahoe Facial Plastic Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Dietitian, Registered
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Hospitalist
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Nurse Practitioner (Psychiatric/Mental Health)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Anesthesiology
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Registered Nurse (Registered Nurse First Assistant)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Anesthesiology
1600 MEDICAL PKWY
CARSON CITY, NV 89703

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 Tahoe Facial Plastic Surgery PLLC's NPI number?

The NPI number for Tahoe Facial Plastic Surgery PLLC is 1730914433. It was assigned to this organization in the NPPES registry on September 4, 2024. The provider is doing business as Tahoe Facial Plastic Surgery.

Where is Tahoe Facial Plastic Surgery PLLC located?

Tahoe Facial Plastic Surgery PLLC is located at 1600 Medical Pkwy, Carson City, NV 89703. The listed phone number is (530) 721-6052.

What is Tahoe Facial Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Tahoe Facial Plastic Surgery PLLC was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.