TAHOE FACIAL PLASTIC SURGERY PLLC
NPI 1730914433
Otolaryngology - Facial Plastic Surgery in Carson City, NV
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahoe Facial Plastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tahoe Facial Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Tahoe Facial Plastic Surgery PLLC enrolled in Medicare?
Yes. Tahoe Facial Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tahoe Facial Plastic Surgery PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Tahoe Facial Plastic Surgery PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tahoe Facial Plastic Surgery Pllc · NPI 1730914433
Facial Plastic Surgery organization in Carson City, Nevada. Organization record, active in the CMS NPPES registry since September 4, 2024.
## Identity
- **NPI:** 1730914433 (Entity type: Organization)
- **Enumerated:** September 4, 2024
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **Also known as:** Tahoe Facial Plastic Surgery (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Benjamin Bradford, CEO
## Practice location
- **Address:** 1600 MEDICAL PKWY, Carson City, NV 89703-4625
- **Phone:** (530) 721-6052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Otolaryngology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730914433) · Data from the CMS NPPES public registry.