Esmael Valdez, D.D.S., P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2351 Issued in NM

Legal business name

ESMAEL VALDEZ, D.D.S., P.C

Practice address

925 Mills Ave
Las Vegas, NM 87701-4047

Phone

(505) 454-8483

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Esmael Robert Valdez, D.D.S.

Title

Owner

Phone

(505) 454-8483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Divine Dental Centre Doing business as

Locations

Practitioners 1

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

• Christie Ann Baca, RDH

  • Dental Hygienist
  • Las Vegas, NM
  • NPI 1235294091
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164547204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014047",
            "telephone_number": "505-454-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014047",
            "telephone_number": "505-454-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESMAEL VALDEZ, D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ESMAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-454-8483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44456310",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Care LLC
• Travasa Ellis
• Kristen Encinias
• Tiffany Encinias, CHW
• Cecilia Escudero, RN
• Janette Beatriz Espinoza, PMHNP
• Jessica Espinoza, RN
• Julie Ruby Esquibel, RN
• Marcia Esquibel, LBSW
• Ramon Gabriel Esquibel

• General Practice Dentistry in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.