Individual provider Active NPI

Roxanne Denise David, DMD

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1245951144
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7570 Issued in NV
Practice address
2810 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4593
Phone
(702) 848-2525
NPI assigned
Sep 8, 2022
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7570 NV Primary

Addresses

Primary practice location

2810 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4593

Mailing address

2810 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4593
Phone (702) 686-8462

Other practice location 1

5905 S Eastern Ave Ste 112
Las Vegas, NV 89119-3130
Phone (702) 262-5693

Other names 1

  • Dr. Roxanne Denise Panaligan David Other name

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
7570NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Smiles2, LLC General Practice CurrentSince Jan 28, 2024 Accepting new patients

Locations

2810 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 848-2525

5905 S Eastern Ave
Ste 112
Las Vegas, NV 89119
Phone (702) 262-5693

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1245951144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524593",
            "telephone_number": "702-686-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524593",
            "telephone_number": "702-848-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5905 S Eastern Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891193130",
            "country_code": "US",
            "telephone_number": "702-262-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "ROXANNE DENISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE DENISE",
            "last_name": "DAVID",
            "middle_name": "PANALIGAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.