Active NPI
Stephanie Marc Casequin Batista
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1114690849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7548
- Practice address
- 6765 W Russell Rd Ste 170
Las Vegas, NV 89118-1862 - Phone
- (702) 291-2031
- Fax
- (702) 410-9402
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7548 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6765 W Russell Rd Ste 170
Las Vegas, NV 89118-1862
Mailing address
6423 Point Isabel Way
Las Vegas, NV 89122-7640
Phone (818) 384-5407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7548 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Batista DMD PLLC | General Practice | Current | Accepting new patients |
| New Mexico Dentistry Prada, PLLC | Current | Accepting new patients | |
| Southern Nevada Specialty Prada, PLLC | Past | Accepting new patients |
Locations
2250 S Rancho Dr
Ste 205
Las Vegas, NV 89102
Phone (360) 536-7522
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1821956848
-
- Dentist
- Albuquerque, NM
- NPI 1376215731
-
- Pediatric Dentistry
- Las Vegas, NV
- NPI 1275998270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1114690849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6423 POINT ISABEL WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891227640",
"telephone_number": "818-384-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6765 W RUSSELL RD STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181862",
"telephone_number": "702-291-2031",
"fax_number": "702-410-9402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATISTA",
"first_name": "STEPHANIE MARC",
"middle_name": "CASEQUIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7548",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.