Monica Renee Ponce, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3063 Issued in NV

Practice address

9450 W Russell Rd Ste 102
Las Vegas, NV 89148-5690

Phone

(702) 570-3320

Fax

(702) 570-3424

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

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.

• Monica Ponce, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1164050365
  NPD Authorized official
• Monica Ponce, DDS, a Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1568098309
  NPD Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1174598882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 W RUSSELL RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485690",
            "telephone_number": "702-570-3320",
            "fax_number": "702-570-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 W RUSSELL RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485690",
            "telephone_number": "702-570-3320",
            "fax_number": "702-570-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "MONICA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202048",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.delicatedentalgroup.com/",
            "affiliation": "N",
            "endpointDescription": "DELICATE DENTAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9450 W Russell Rd Ste 102",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891485690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Ponce
• Logan Aston Ponce, DPT
• Maria Ponce
• Mario Ponce
• Mary Ponce
• Paola Camille Ponce, FNP-C
• Parker Allen Pond
• Stacey Pondt
• Arjun Ponduri, MD
• Nitikarn Pongpitpreecha

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.