Andrei Dzekola, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7874 Issued in NV

Practice address

3360 W Cactus Ave Ste 150
Las Vegas, NV 89141-8810

Phone

(702) 527-1777

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1215615091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 OLYMPIC AVE APT 3123",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142286",
            "telephone_number": "215-268-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 W CACTUS AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418810",
            "telephone_number": "702-527-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7260 W Lake Mead Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288357",
            "country_code": "US",
            "telephone_number": "702-674-6005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "669 N Stephanie St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142634",
            "country_code": "US",
            "telephone_number": "725-208-4157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4451 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303405",
            "country_code": "US",
            "telephone_number": "702-723-9528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3041 E Flamingo Rd Ste C&d",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891217446",
            "country_code": "US",
            "telephone_number": "702-508-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8880 S Maryland Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236718",
            "country_code": "US",
            "telephone_number": "702-605-1675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZEKOLA",
        "first_name": "ANDREI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Las Vegas, NV
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.