Debra F Mavroidis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7037 Issued in NV

Practice address

6375 W Charleston Blvd Ste A500
Las Vegas, NV 89146

Phone

(702) 651-5510

Fax

(702) 651-7383

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Board of Regents Nevada System of Higher Education

  • Local Education Agency (LEA)
  • Las Vegas, NV
  • NPI 1518169200
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1447326186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S ROYAL ASCOT DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444309",
            "telephone_number": "702-596-6306",
            "fax_number": "702-651-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 W CHARLESTON BLVD STE A500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-651-5510",
            "fax_number": "702-651-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROIDIS",
        "first_name": "DEBRA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "LL001702",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice D Gregory Jr M D a Professional Corporation
• Jonni Mauro Zambon
• Yasmin Mauro, SA-C
• Maverick Psychiatry
• Noreen Rafik Mavrakis
• Jenifer Mawae
• Jonah Kaleiahi Mawae, DPT
• David R Mawby
• Max Health Advance Practice LLC
• Max Level Performance

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

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