Michel Daccache, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S2-112C Issued in NV

Practice address

1701 W Charleston Blvd Ste 520
Las Vegas, NV 89102-2309

Phone

(702) 750-9444

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mdaccache13173@direct.umcsn.com

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.

• MJD, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1205338563
  NPD Authorized official
• Dr. Michel Daccache Oral and Maxillofacial Surgery , LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1851682041
  NPD (past) Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1285881243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 STAGE STOP DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525825",
            "telephone_number": "775-750-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 520",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022309",
            "telephone_number": "702-750-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACCACHE",
        "first_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037022",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-112C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celso Tyrone Dacanay III
• Hamilton Dacanay
• Rhoda Dacanay
• Willy Dacanay
• Jeani-an Dacayanan
• Cara Dace, RN
• Andrea M Daciuk
• Marissa Dacken, CHW
• Marjorie Anne Dacko, CM
• Dadej & Ohriner, LTD

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.