Active NPI
Marvelyn Navarro, RDH
- Dental Hygienist
- Las Vegas, NV
National Provider Identifier
1194586248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 102195
- Practice address
- 1930 Village Center Cir Ste 3957
Las Vegas, NV 89134-6299 - Phone
- (714) 292-3291
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 102195 | NV | Primary |
Addresses
Primary practice location
1930 Village Center Cir Ste 3957
Las Vegas, NV 89134-6299
Mailing address
256 Chartan Ave
Las Vegas, NV 89183-5140
Phone (702) 785-4367
Other practice location 1
256 Chartan Ave
Las Vegas, NV 89183-5140
Phone (702) 785-4367
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 |
|---|---|---|---|
| 102195 | NV | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Hygiene Direct | Current | Accepting new patients |
Locations
1930 Village Center Cir
Ste 3957
Las Vegas, NV 89134
Phone (702) 721-8405
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.
-
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1043812993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1194586248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CHARTAN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835140",
"telephone_number": "702-785-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 VILLAGE CENTER CIR STE 3957",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346299",
"telephone_number": "714-292-3291"
}
],
"practiceLocations": [
{
"address_1": "256 Chartan Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891835140",
"country_code": "US",
"telephone_number": "702-785-4367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVARRO",
"first_name": "MARVELYN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "102195",
"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 Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.