Dominique Carreon Dela Cruz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7088 Issued in NV

Practice address

5670 W Flamingo Rd Ste B
Las Vegas, NV 89103-2338

Phone

(702) 364-2373

NPI assigned

Jul 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sugar Smiles LLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1720504566
  NPD
• Callaway-Nelson Flamingo Smiles, PC

  • Dentist
  • Las Vegas, NV
  • NPI 1174837009
  NPD (past)

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1154809598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032338",
            "telephone_number": "702-364-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032338",
            "telephone_number": "702-364-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9516 W Flamingo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891475750",
            "country_code": "US",
            "telephone_number": "702-254-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "DOMINIQUE",
        "middle_name": "CARREON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Del Valle
• Francis X Del Vecchio, MD
• Angelina Dela Cruz
• Arvy Dela Cruz
• Bryan Ocampo Dela Cruz, BSN, RN
• Elizabeth Dela Cruz
• Ivyfer Dela Cruz
• Lia Donna Velasquez Dela Cruz, FNP-BC
• Liezl Canlas Dela Cruz
• Maribeth Dela Cruz

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.