Individual provider Active NPI

Deaudre Lyndell Lecato, DMD,MBA

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1528720893
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7573 Issued in NV
Practice address
5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560
Phone
(702) 996-8347
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7573 NV Primary

Addresses

Primary practice location

5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560

Mailing address

4760 Desert Vista Rd
Las Vegas, NV 89121-5627
Phone (702) 510-0928

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
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1528720893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 DESERT VISTA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215627",
            "telephone_number": "702-510-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E BONANZA RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103560",
            "telephone_number": "702-996-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECATO",
        "first_name": "DEAUDRE",
        "middle_name": "LYNDELL",
        "name_prefix": "Dr.",
        "credential": "DMD,MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7573",
            "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 Oct 13, 2021; 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.