Organization Active NPI

Dma Wellness Center Corp.

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1417815689
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dagmar De la CruzNPI 1588163083
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)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.