NPIMap

Organization Active NPI

Steven Delisle DDS PC

  • Dentist
  • Boulder City, NV
National Provider Identifier
1124537618
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5929 Issued in NV
Legal business name
STEVEN DELISLE DDS PC
Practice address
1651 Nevada Hwy
Boulder City, NV 89005-1909
Phone
(702) 524-5732
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Cindy Rodriguez
Title
C.O.O.
Phone
(702) 524-5732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5929 NV Primary

Addresses

Primary practice location

1651 Nevada Hwy
Boulder City, NV 89005-1909

Mailing address

2480 E Tompkins Ave Ste 102
Las Vegas, NV 89121-5466
Phone (702) 524-5732

National Provider Directory

National Provider Directory
Tax ID family
Steven Delisle DDS PC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1124537618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215466",
            "telephone_number": "702-524-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 NEVADA HWY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051909",
            "telephone_number": "702-524-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN DELISLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "702-524-5732"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.