Active NPI
Victoria Quizon, DMD
- Dentist
- Henderson, NV
National Provider Identifier
1366136707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7826
- Practice address
- 366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287 - Phone
- (702) 464-3090
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7826 | NV | Primary |
Addresses
Primary practice location
366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287
Mailing address
9709 Craighead LN
Las Vegas, NV 89117-5929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024003053 | CA | Order and Referring Only - Dentist | 0143676338 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7826 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1366136707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 CRAIGHEAD LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 W LAKE MEAD PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157287",
"telephone_number": "702-464-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIZON",
"first_name": "VICTORIA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NV",
"license": "7826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 7, 2023; 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.