NPIMap

Organization Active NPI

Steven Delisle DDS P.C.

  • General Practice Dentistry
  • North Las Vegas, NV
National Provider Identifier
1720495872
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5929 Issued in NV
Legal business name
STEVEN DELISLE DDS P.C.
Practice address
4080 N MLK Blvd Ste 101B
North Las Vegas, NV 89032-3217
Phone
(425) 306-2579
NPI assigned
Jul 21, 2014
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Steven Delisle
Title
Owner
Phone
(425) 306-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5929 NV Primary

Addresses

Primary practice location

4080 N MLK Blvd Ste 101B
North Las Vegas, NV 89032-3217

Mailing address

4080 N MLK Blvd Ste 101B
North Las Vegas, NV 89032-3217

National Provider Directory

National Provider Directory
Tax ID family
Steven Delisle DDS PC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1720495872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 N MLK BLVD STE 101B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N MLK BLVD STE 101B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323217",
            "telephone_number": "425-306-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN DELISLE DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-306-2579"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.