Individual provider Active NPI

Christian James Marquez, DMD

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1699467647
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7997 Issued in NV
Practice address
725 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0455
Phone
(702) 560-5231
Fax
(702) 560-5249
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7997 NV Primary

Addresses

Primary practice location

725 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0455

Mailing address

725 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0455
Phone (702) 560-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7997NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Orthodontics PastSince May 1, 2023 Accepting new patients
Mugleston Macdonald Rach Modern Dentistry, PC PastSince Jun 9, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1699467647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S GREEN VALLEY PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520455",
            "telephone_number": "702-560-5231",
            "fax_number": "702-560-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S GREEN VALLEY PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520455",
            "telephone_number": "702-560-5231",
            "fax_number": "702-560-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.