Active NPI
Sufia Palluck, D.D.S.
- Dentist
- Las Vegas, NV
National Provider Identifier
1699959361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5123
- Practice address
- 7720 W Sahara Ave
Suite 107
Las Vegas, NV 89117-2799 - Phone
- (702) 862-4088
- NPI assigned
- Dec 18, 2007
- Last updated
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5123 | NV | Primary |
Addresses
Primary practice location
7720 W Sahara Ave
Suite 107
Las Vegas, NV 89117-2799
Mailing address
5647 Heather Breeze CT
Las Vegas, NV 89141-0430
Phone (702) 767-8537
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5123 | NV | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sufia Palluck DDS LTD. | Past | Accepting new patients |
Organizations & group practices 1
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": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1699959361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5647 HEATHER BREEZE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891410430",
"telephone_number": "702-767-8537",
"fax_number": "702-693-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 W SAHARA AVE",
"address_2": "SUITE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172799",
"telephone_number": "702-862-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLUCK",
"first_name": "SUFIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "5123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.