Modelo Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODELO DENTAL CENTER

Practice address

4660 S Eastern Ave Ste 101
Las Vegas, NV 89119-6138

Phone

(702) 436-6186

Fax

(702) 436-3276

NPI assigned

Jul 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bertha O. Alarcon, D.D.S

Title

Coe

Phone

(702) 436-6186

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1003014101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196138",
            "telephone_number": "702-436-6186",
            "fax_number": "702-436-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196138",
            "telephone_number": "702-436-6186",
            "fax_number": "702-436-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODELO DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "ALARCON",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "COE",
        "authorized_official_telephone_number": "702-436-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E. Mock, MD
• Jessica Mock
• Michelle Renne Mockbee
• Mirna Moctezuma-Reyes
• Nora Moctezuma
• Maria Panilan Modelo
• Moderation of the Mind Counseling Services LLC
• Moderation of the Mind LLC
• Modern Dental Specialist, LLC
• Modern Dental Specialist, LLC

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.