Tahoe Facial Plastic Surgery PLLC
NPI 1730914433 · Facial Plastic Surgery Physician · Carson City, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tahoe Facial Plastic Surgery PLLC is a Facial Plastic Surgery Physician organization in Carson City, NV (NPI 1730914433).
Provider details
- NPI number
- 1730914433
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Bradford, Ceo(808) 936-3090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tahoe Facial Plastic Surgery
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Tahoe Facial Plastic Surgery PLLC's NPI number?
- Tahoe Facial Plastic Surgery PLLC's National Provider Identifier (NPI) is 1730914433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tahoe Facial Plastic Surgery PLLC?
- Tahoe Facial Plastic Surgery PLLC is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tahoe Facial Plastic Surgery PLLC located?
- Tahoe Facial Plastic Surgery PLLC's practice location on file with NPPES is 1600 Medical Pkwy, Carson City, NV 89703-4625.
- What is Tahoe Facial Plastic Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tahoe Facial Plastic Surgery PLLC is (530) 721-6052.
- Does Tahoe Facial Plastic Surgery PLLC accept Medicare?
- Tahoe Facial Plastic Surgery PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tahoe Facial Plastic Surgery PLLC?
- The authorized official listed on Tahoe Facial Plastic Surgery PLLC's NPPES record is Benjamin Bradford, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tahoe Facial Plastic Surgery PLLC's NPI active?
- Yes — Tahoe Facial Plastic Surgery PLLC's NPI (1730914433) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.