Active NPI
Romulo Joseph Guideng Jr., DMD
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1174824148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6063
- Practice address
- 6525 N Decatur Blvd
Ste 150
Las Vegas, NV 89131-2992 - Phone
- (702) 577-1941
- NPI assigned
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6063 | NV | Primary |
Addresses
Primary practice location
6525 N Decatur Blvd
Ste 150
Las Vegas, NV 89131-2992
Mailing address
7731 Victory Gallup St
Las Vegas, NV 89131-4123
Phone (702) 461-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6063 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1174824148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7731 VICTORY GALLUP ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891314123",
"telephone_number": "702-461-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 N DECATUR BLVD",
"address_2": "STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312992",
"telephone_number": "702-577-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDENG",
"first_name": "ROMULO",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-08",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "6063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.