Individual provider Active NPI

Leonardo Miguel Bachoco Castillo, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1396406476
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013892A Issued in IN
Practice address
7135 W Sahara Ave Ste 200
Las Vegas, NV 89117-2828
Phone
(702) 872-2872
NPI assigned
Dec 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013892A IN Primary
Dentist 122300000X 019034052 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7135 W Sahara Ave Ste 200
Las Vegas, NV 89117-2828

Mailing address

7135 W Sahara Ave Ste 200
Las Vegas, NV 89117-2828
Phone (630) 732-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230623002498 IL Practitioner - Dentist 3870951890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019034052ILMDDentist
12013892AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo Dentistry PLLC Dentist CurrentSince Mar 24, 2025 Accepting new patients
Dental Experts, LLC PastSince Jan 1, 2022 Accepting new patients
Sleep Impressions, LLC Dentist PastSince May 1, 2022 Accepting new patients
Affiliated Family Dentists PC Dentist PastSince May 1, 2022 Accepting new patients

Locations

7135 W Sahara Ave
Ste 200
Las Vegas, NV 89117
Phone (702) 822-2100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1396406476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172828",
            "telephone_number": "630-732-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172828",
            "telephone_number": "702-872-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LEONARDO MIGUEL",
        "middle_name": "BACHOCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-31",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013892A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019034052",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.