Active NPI
Gabrielle Cruz Aquino, DMD
- Pediatric Dentistry
- Las Vegas, NV
National Provider Identifier
1124482682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- S6-211
- Practice address
- 8710 W Charleston Blvd Ste 100
Las Vegas, NV 89117-5467 - Phone
- (702) 330-8952
- NPI assigned
- Apr 11, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | S6-211 | NV | Primary |
Addresses
Primary practice location
8710 W Charleston Blvd Ste 100
Las Vegas, NV 89117-5467
Mailing address
8370 W Cheyenne Ave Ste 103
Las Vegas, NV 89129-2174
Phone (702) 843-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05408282 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6-211 | NV | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1124482682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8370 W CHEYENNE AVE STE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891292174",
"telephone_number": "702-843-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8710 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175467",
"telephone_number": "702-330-8952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "GABRIELLE",
"middle_name": "CRUZ",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NV",
"license": "S6-211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05408282",
"state": "NY"
}
],
"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 Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.