Individual provider Active NPI

Marah Culpepper, DMD

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1366992232
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6824 Issued in NV
Practice address
321 N Pecos Rd Ste 100
Henderson, NV 89074-1348
Phone
(702) 732-7878
NPI assigned
Oct 4, 2016
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6824 NV Primary

Addresses

Primary practice location

321 N Pecos Rd Ste 100
Henderson, NV 89074-1348

Mailing address

3140 S Durango Dr
Ste 100
Las Vegas, NV 89117-9189

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
I20170113000398 NV Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3577845239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6824NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Culpepper DMD PLLC General Practice CurrentSince Feb 2, 2025 Accepting new patients
Pamela G. Caggiano, D.D.S., LTD PastSince Feb 2, 2025 Accepting new patients
Masaki Durango Dental Group, PC General Practice Past Accepting new patients

Locations

321 N Pecos Rd
Ste 100
Henderson, NV 89074
Phone (702) 732-7878

Organizations & group practices 3

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1366992232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 S DURANGO DR",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741348",
            "telephone_number": "702-732-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "MARAH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.