Jett Justin Angeles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8046 Issued in NV

Practice address

5514 Camino Al Norte Ste A2
North Las Vegas, NV 89031-0807

Phone

(702) 827-1352

NPI assigned

May 25, 2023

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

State licenses

Practice roles

Locations

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.

• Yeam El Dorado Modern Dentistry, PC

  • General Practice Dentistry
  • North Las Vegas, NV
  • NPI 1841959673
  NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1619669744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 CAMINO AL NORTE STE A2",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 CAMINO AL NORTE STE A2",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310807",
            "telephone_number": "702-827-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "JETT JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo Andux Daniel
• Angeles Medical Center LLC
• Angeles Medical Centers LLC
• Angeles Medical Centers LLC
• Angeles Mobile Phlebotomy LLC
• Alleluia Tejero Raton Angon
• Stefanie Marie Angrisano, PHARMD
• Alondra Anguiano
• Arsenio S Angus, M.D.
• Ann Pham D.D.S., P.C.

• General Practice Dentistry in North Las Vegas, NV
• Providers in North 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 Oct 15, 2024; 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.