Individual provider Active NPI

Christelle Alhwayek, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1265817456
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6678 Issued in NV
Practice address
1111 N Decatur Blvd
Las Vegas, NV 89108-1220
Phone
(702) 636-5553
Fax
(844) 318-0949
NPI assigned
Jul 29, 2015
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6678 NV Primary

Addresses

Primary practice location

1111 N Decatur Blvd
Las Vegas, NV 89108-1220

Mailing address

4090 N Martin Luther King
Suite 100
North Las Vegas, NV 89032
Phone (702) 489-5460

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
6678NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christelle Y Alhwayek DMD, PLLC Dentist CurrentSince Oct 1, 2023 Accepting new patients

Locations

1111 N Decatur Blvd
Las Vegas, NV 89108
Phone (702) 636-5553

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1265817456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 N MARTIN LUTHER KING",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-489-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081220",
            "telephone_number": "702-636-5553",
            "fax_number": "844-318-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHWAYEK",
        "first_name": "CHRISTELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6678",
            "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 Sep 29, 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.