Individual provider Active NPI

Juliette N Sinex, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1174884282
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10739 Issued in SC
Practice address
1000 S Rampart Blvd Ste 13
Las Vegas, NV 89145-8533
Phone
(702) 240-6200
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7840 NV
General Practice Dentistry 1223G0001X 10739 SC Primary

Addresses

Primary practice location

1000 S Rampart Blvd Ste 13
Las Vegas, NV 89145-8533

Mailing address

2884 Skowhegan Dr
Henderson, NV 89074-5707
Phone (702) 882-3813

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231024002744 NV Order and Referring Only - DentistPractitioner - Dentist 0749636934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7840NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of South Carolina, P.C. General Practice CurrentSince Aug 25, 2024 Accepting new patients
Nevada Dental Professional, Quirt, Kruyer, P.C. General Practice Past Accepting new patients
Tang Sahara Modern Dentistry, PC General Practice PastSince Jun 1, 2023 Accepting new patients
Boca Park Dental Inc General Practice Past Accepting new patients

Locations

148 Sapwood Rd
Ste 103
Myrtle Beach, SC 29579
Phone (843) 233-9093

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1174884282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 SKOWHEGAN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745707",
            "telephone_number": "702-882-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S RAMPART BLVD STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458533",
            "telephone_number": "702-240-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINEX",
        "first_name": "JULIETTE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7840",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.