Nea Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEA DENTISTRY LLC

Practice address

2085 Village Center Cir Ste 140
Las Vegas, NV 89134-6263

Phone

(860) 491-6972

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Peter Stephen BonifattoNPI 1235655010

Title

Clinical Director

Phone

(702) 256-6001

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Stephen Bonifatto, DMD

  • General Practice Dentistry
  • Valencia, CA
  • NPI 1235655010
  NPD Authorized official
• Shari Claros, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1104319631
  NPD

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1629573266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 VILLAGE CENTER CIR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346263",
            "telephone_number": "702-256-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 VILLAGE CENTER CIR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346263",
            "telephone_number": "860-491-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BONIFATTO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-256-6001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaelle Nafissatou Ndoye
• Ifesinachi B Ndukwu, M.D.
• Munachimso Ndukwu, MD
• Ada N. Ndulaka, FNP-BC
• Jemimah Ndungu
• Nea Partners
• Jennifer Neace
• Neal a Marek D P M Limited
• Neal Marek, DPM Professinal Corporation
• Laquanna Neal-Chatman

• 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 Feb 24, 2022; 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.