Bernard Tesorero Ancheta III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7092 Issued in NV

Practice address

2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548

Phone

(702) 641-0481

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Camel Kids Dentistry

  • Pediatric Dentistry
  • Henderson, NV
  • NPI 1841137627
  Authorized official Same address or phone
• Creative Dental

  • Dentist
  • Las Vegas, NV
  • NPI 1295974780
  NPD (past)
• Valenzuela Dental LLC

  dba Creative Dental

  • Dentist
  • Las Vegas, NV
  • NPI 1043929623
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1427544618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 LINDELL RD APT 2117",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181266",
            "telephone_number": "650-245-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S NELLIS BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217548",
            "telephone_number": "702-641-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHETA",
        "first_name": "BERNARD",
        "middle_name": "TESORERO",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisela Anaya
• Rosmery Anaya
• Anazaohealth Corporation
• Christine C Ancajas, DDS
• Ali Kai Ancheta
• Carmeli C Ancheta, APRN
• Emy F Ancheta
• Francisco Ancheta Jr.
• Manuel De Guzman Ancheta
• Milagros Ancheta

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.