Individual provider Active NPI

Aaron B Bulleigh, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1134158587
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7198 Issued in NV
Practice address
5693 S Jones Blvd Ste 113
Las Vegas, NV 89118-1967
Phone
(702) 838-6684
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 7198 NV Primary

Addresses

Primary practice location

5693 S Jones Blvd Ste 113
Las Vegas, NV 89118-1967

Mailing address

5693 S Jones Blvd Ste 113
Las Vegas, NV 89118-1967
Phone (702) 838-6684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20151208000568 OK Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3375843725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7198NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Dental Arts, PC Dentist Past Accepting new patients

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1134158587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181967",
            "telephone_number": "702-838-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181967",
            "telephone_number": "702-838-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEIGH",
        "first_name": "AARON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.