NPIMap

Organization Active NPI

Monica Ponce, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1164050365
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MONICA PONCE, DDS, A PROFESSIONAL CORPORATION
Doing business as
Delicate Dental
Delicate Oral Surgery
Practice address
9450 West Russell Road Suite 102
Las Vegas, NV 89148-8914
Phone
(702) 806-7439
Fax
(702) 570-3424
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Monica Renee PonceNPI 1174598882
Title
Owner
Phone
(702) 806-7439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9450 West Russell Road Suite 102
Las Vegas, NV 89148-8914

Mailing address

8036 Barndance CT
Las Vegas, NV 89149-4754
Phone (702) 806-7439

Other names 2

  • Delicate Dental Doing business as
  • Delicate Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

9450 W Russell Rd
Ste 102
Las Vegas, NV 89148
Phone (702) 570-3320

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1164050365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 BARNDANCE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494754",
            "telephone_number": "702-806-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 WEST RUSSELL ROAD SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891488914",
            "telephone_number": "702-806-7439",
            "fax_number": "702-570-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA PONCE, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-806-7439",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delicate Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delicate Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delicate Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2021; 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.