Organization Active NPI

Monica Ponce, DDS, a Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1568098309
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONICA PONCE, DDS, A PROFESSIONAL CORPORATION
Doing business as
Delicate Dental
Practice address
9450 West Russell Rd
Suite #103
Las Vegas, NV 89148
Phone
(702) 827-2200
Fax
(705) 570-3424
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Dr. Monica Renee Ponce, DDSNPI 1174598882
Title
Owner and Provider
Phone
(702) 806-7439

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

9450 West Russell Rd
Suite #103
Las Vegas, NV 89148

Mailing address

8036 Barndance CT
Las Vegas, NV 89149-4754
Phone (702) 806-7439

Other identifiers 1

IdentifierTypeStateIssuer
1174598882MedicaidNV

Other names 1

  • Delicate Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9450 W Russell Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 827-2200

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": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1568098309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 BARNDANCE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494754",
            "telephone_number": "702-806-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 WEST RUSSELL RD",
            "address_2": "SUITE #103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-827-2200",
            "fax_number": "705-570-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA PONCE, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "702-806-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174598882",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delicate Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delicate Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2023; 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.