Rosalynd Alatorre, DMD

Individual provider Active NPI General Practice Dentistry · Las Vegas, NV

NPI 1184698656 · NPPES record last updated Nov 16, 2012

Key facts

NPI
1184698656
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4859 (NV)
Practice address
2815 S Rainbow Blvd
Las Vegas, NV 89146-5166
Phone
(702) 362-9974
Fax
(702) 362-0107
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150720003145 NV Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
0244543239

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4859NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alatorre Dental P.L.L.C. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4859 NV Yes

Addresses

Primary practice location

2815 S Rainbow Blvd
Las Vegas, NV 89146-5166

Mailing address

2815 S Rainbow Blvd
Las Vegas, NV 89146-5166
Phone (702) 362-9974

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · General Practice Dentistry in Nevada

Sources for this page

Verify at the official NPI Registry.