Patricia Prada, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-33C Issued in NV

Practice address

8380 W Cheyenne Ave
104
Las Vegas, NV 89129-8405

Phone

(702) 733-0888

Fax

(702) 395-8718

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Northern Nevada Specialty Prada, PLLC

  • Pediatric Dentistry
  • Last Vegas, NV
  • NPI 1134584055
  NPD Authorized official
• Southern Nevada Specialty Prada, PLLC

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275998270
  NPD Authorized official
• New Mexico Dentistry Prada, PLLC

  • Dentist
  • Albuquerque, NM
  • NPI 1376215731
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1649360306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S. RANCHO DR.",
            "address_2": "STE. 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-291-2031",
            "fax_number": "702-984-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W CHEYENNE AVE",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298405",
            "telephone_number": "702-733-0888",
            "fax_number": "702-395-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA",
        "first_name": "PATRICIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-33C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649360306",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachakonda D Prabhu, M.D.
• Suresh Gopalakrishna Prabhu, MD
• Practical Balance Counseling, PLLC
• Practice Makes Progress LLC
• Jeovany Rafael Prada Pita
• Brad Andrew Pradarelli, MD
• Gema Prado de Aruzarena
• Ricardo Prado-Ramos
• Alyssa Amber Prado
• Anna L Prado

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.