Individual provider Active NPI

Ronald Espinueva, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1093262404
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6690 Issued in NV
Practice address
5320 W Sahara Ave Ste 3
Las Vegas, NV 89146-0375
Phone
(702) 871-4990
Fax
(702) 871-9853
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6690 NV Primary

Addresses

Primary practice location

5320 W Sahara Ave Ste 3
Las Vegas, NV 89146-0375

Mailing address

178 La Serna St
Henderson, NV 89074-2847
Phone (702) 260-4450

Other identifiers 1

IdentifierTypeStateIssuer
6690OtherNVNEVADA BOARD OF DENTAL EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trusmile LLC General Practice Current Accepting new patients

Locations

5320 W Sahara Ave
Ste 3
Las Vegas, NV 89146
Phone (702) 871-4990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1093262404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LA SERNA ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890742847",
            "telephone_number": "702-260-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W SAHARA AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460375",
            "telephone_number": "702-871-4990",
            "fax_number": "702-871-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINUEVA",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF DENTAL EXAMINERS",
            "identifier": "6690",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.