Jaydene McDaniel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7210 Issued in NV

Practice address

8380 W Cheyenne Ave Ste 104
Las Vegas, NV 89129-2175

Phone

(702) 291-2031

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Clinic of Maui, Inc.

  • Community Health Clinic/Center
  • Wailuku, HI
  • NPI 1528042561
  Medicare reassignment NPD
• Southern Nevada Specialty Prada, PLLC

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275998270
  NPD (past)
• New Mexico Dentistry Prada, PLLC

  • Dentist
  • Albuquerque, NM
  • NPI 1376215731
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1083274195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S RANCHO DR STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W CHEYENNE AVE STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292175",
            "telephone_number": "702-291-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JAYDENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany McDaniel -Sablan
• Alice Jeanene McDaniel
• Breanna McDaniel
• Cleautry H McDaniel Jr.
• Constance McDaniel
• Kenneth Toran McDaniel
• Mekia L McDaniel
• Michelle M McDaniel, LCSW
• Myriah McDaniel
• Style McDaniel

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.