Individual provider Active NPI

Jessica Recto, DMD

  • Dentist
  • Henderson, NV
National Provider Identifier
1265320568
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8199 Issued in NV
Practice address
1135 Vitality Dr Ste 130
Henderson, NV 89011-4809
Phone
(702) 359-7401
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8199 NV Primary

Addresses

Primary practice location

1135 Vitality Dr Ste 130
Henderson, NV 89011-4809

Mailing address

9637 Gray Cap St
Las Vegas, NV 89123-5826
Phone (702) 821-6786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924002242 NV Order and Referring Only - DentistPractitioner - Dentist 6800391517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8199NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oweis Union Village Modern Dentistry, PC CurrentSince Jun 29, 2025 Accepting new patients

Locations

1135 Vitality Dr
Ste 130
Henderson, NV 89011
Phone (702) 359-7401

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1265320568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 GRAY CAP ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235826",
            "telephone_number": "702-821-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 VITALITY DR STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114809",
            "telephone_number": "702-359-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTO",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.