Damian Betancourt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2631 Issued in NV

Practice address

5892 Losee Rd Ste 135
North Las Vegas, NV 89081-6200

Phone

(702) 399-8700

Fax

(702) 657-6817

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

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.

• New Mexico Dentistry Prada, PLLC

  • Dentist
  • Albuquerque, NM
  • NPI 1376215731
  NPD
• Southern Nevada Specialty Prada, PLLC

  dba Absolute Dental & Orthodontics

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275998270
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699813865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S RANCHO DR STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024456",
            "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": "5892 LOSEE RD STE 135",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816200",
            "telephone_number": "702-399-8700",
            "fax_number": "702-657-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 N Tenaya Way Ste 208",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280453",
            "country_code": "US",
            "telephone_number": "702-804-0325",
            "fax_number": "702-982-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699813865",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Best Friends LLC Home Care
• Katia Betancourt Espinosa
• Uchi Betancourt Guilian
• Lilia Betancourt Guillian
• Alexeis Oscar Betancourt Martinez
• Lakeacha M Bethea-Christmas
• Anthony Bethlen
• Britni Bettencourt
• Better Everyday LLC
• Bonnie Sue Betts, NP

• Dentist in North Las Vegas, NV
• Providers in North 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.