Individual provider Active NPI

Lluvia Valenzuela, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1689102600
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6913 Issued in NV
Practice address
2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548
Phone
(702) 641-0481
NPI assigned
Jun 3, 2017
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6913 NV Primary

Addresses

Primary practice location

2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548

Mailing address

2585 S Nellis Blvd Ste 6
Las Vegas, NV 89121-7548
Phone (702) 641-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307001683 NV Order and Referring Only - DentistPractitioner - Dentist 8729349758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6913NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valenzuela Dental LLC Dentist CurrentSince Nov 27, 2022 Accepting new patients
Creative Dental Dentist PastSince Sep 8, 2019 Accepting new patients

Locations

2585 S Nellis Blvd
Ste 6
Las Vegas, NV 89121
Phone (702) 641-0481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1689102600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S NELLIS BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217548",
            "telephone_number": "702-641-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S NELLIS BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217548",
            "telephone_number": "702-641-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "LLUVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.