Active NPI
Dma Wellness Center Corp.
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1417815689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DMA WELLNESS CENTER CORP.
- Practice address
- 3430 E Flamingo Rd Ste 307
Las Vegas, NV 89121-5066 - Phone
- (786) 752-0846
- Fax
- (702) 846-4112
- NPI assigned
- Jan 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dagmar De la Cruz
- Title
- Managing Director
- Phone
- (786) 752-0846
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3430 E Flamingo Rd Ste 307
Las Vegas, NV 89121-5066
Mailing address
3430 E Flamingo Rd Ste 307
Las Vegas, NV 89121-5066
Phone (786) 752-0846
National Provider Directory
National Provider DirectoryLocations
3430 E Flamingo Rd
Ste 307
Las Vegas, NV 89121
Phone (786) 752-0846
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1588163083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1417815689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 307",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215066",
"telephone_number": "786-752-0846",
"fax_number": "702-846-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 307",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215066",
"telephone_number": "786-752-0846",
"fax_number": "702-846-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMA WELLNESS CENTER CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "DE LA CRUZ",
"authorized_official_first_name": "DAGMAR",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "786-752-0846"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.