Individual provider Active NPI

Marvelyn Navarro, RDH

  • Dental Hygienist
  • Las Vegas, NV
National Provider Identifier
1194586248
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
102195 Issued in NV
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
102195NVMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Hygiene Direct CurrentSince Jan 21, 2024 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.

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.

Verify at the official NPI Registry.