Individual provider

Blair Isom, D.D.S.

Oral and Maxillofacial Surgery (Dentist) Medicare enrolled

Blair Isom, D.D.S. is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV, registered under NPI 1922365402. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 9368 BRONZE RIVER AVE, Las Vegas, NV 89149. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9368 BRONZE RIVER AVE, Las Vegas, NV 89149 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
S2-144C NV Oral and Maxillofacial Surgery (Dentist) primary
58883 CA Oral and Maxillofacial Surgery (Dentist)
DE60351030 WA Oral and Maxillofacial Surgery (Dentist)

Licences are recorded in 3 states: NV, CA, WA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Other (physician)
PAC ID
5799006326
Enrollment ID
I20161213002465

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Other (physician). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Nevada and Washington. The practice address on file is in Las Vegas, NV, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
58883
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the CA board →
NV Nevada practice address
Licence
S2-144C
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the NV board →
WA Washington
Licence
DE60351030
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery S2-144C NV primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 58883 CA
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery DE60351030 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1922365402 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 20, 2012
Last updatedJun 27, 2016
StatusActive
Sole proprietorYes
CredentialD.D.S.
Practice address 9368 BRONZE RIVER AVE
Las Vegas, NV 89149
(509) 822-8725
This record was last updated on Jun 27, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1922365402 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 2 2 3 6 5 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 4 2 6 6 1 4 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1922365402?
NPI 1922365402 is the National Provider Identifier assigned to Blair Isom, D.D.S. in Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact Blair Isom, D.D.S.?
The phone number on file with NPPES is (509) 822-8725, last updated Jun 27, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Blair Isom, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1922365402 a valid number?
Yes. 1922365402 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.