Active NPI
Blake Giuliani, DDS
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1407693211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8068
- Practice address
- 601 S Rancho Dr Ste A3
Las Vegas, NV 89106-4898 - Phone
- (702) 382-2311
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8068 | NV | Primary |
Addresses
Primary practice location
601 S Rancho Dr Ste A3
Las Vegas, NV 89106-4898
Mailing address
11867 Grassy Plain Ave
Las Vegas, NV 89138-6315
Phone (702) 845-3907
Other practice location 1
7835 S Rainbow Blvd Ste 28
Las Vegas, NV 89139-6457
Phone (702) 898-8448
Other practice location 2
8200 S Maryland Pkwy Ste 130
Las Vegas, NV 89123-4103
Phone (702) 432-6459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8068 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1407693211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11867 GRASSY PLAIN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386315",
"telephone_number": "702-845-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S RANCHO DR STE A3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064898",
"telephone_number": "702-382-2311"
}
],
"practiceLocations": [
{
"address_1": "7835 S Rainbow Blvd Ste 28",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891396457",
"country_code": "US",
"telephone_number": "702-898-8448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8200 S Maryland Pkwy Ste 130",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891234103",
"country_code": "US",
"telephone_number": "702-432-6459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIULIANI",
"first_name": "BLAKE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "8068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.