Carlos H Letelier MD DMD DDS a P C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CARLOS H LETELIER MD DMD DDS A P C

Doing business as

The Center for Oral Surgery of Las Vegas

Practice address

10115 W Twain Ave
Ste 100
Las Vegas, NV 89147-6718

Phone

(702) 367-6666

Fax

(702) 367-9555

NPI assigned

Feb 13, 2015

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos H Letelier, M.D. D.M.D, D.D.S.NPI 1689614893

Title

Owner

Phone

(702) 367-6666

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• THE CENTER FOR ORAL SURGERY OF LAS VEGAS Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos H Letelier, MD.,DMD.,DDS.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Las Vegas, NV
  • NPI 1689614893

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1285025130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 W TWAIN AVE",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476718",
            "telephone_number": "702-367-6666",
            "fax_number": "702-367-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 W TWAIN AVE",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476718",
            "telephone_number": "702-367-6666",
            "fax_number": "702-367-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS H LETELIER MD DMD DDS A P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "LETELIER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-367-6666",
        "authorized_official_credential": "M.D.  D.M.D, D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689614893",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CENTER FOR ORAL SURGERY OF LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter A Carlo, PAC
• Tara Carlo
• James Carlock
• Bryan Patrick Carlon, P.T.
• Susan Lee Carlon
• Santos Carlos Rodriguez
• Carlos T. Tisbe, M.D., PLLC
• Carlos W. Araujo, MD, PC (Horizon Cancer & Hematology Center)
• Eulalia Carlos-Sandoval
• Acel Carlos, RN

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.