Individual provider Active NPI

Melanie Denise Squiteri, RN, RDH

  • Dental Hygienist
  • Las Vegas, NV
National Provider Identifier
1750637443
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
11068 Issued in NV
Practice address
901 S Rancho Dr
270
Las Vegas, NV 89106-3801
Phone
(702) 636-3060
Fax
(702) 636-3057
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 11068 NV Primary

Addresses

Primary practice location

901 S Rancho Dr
270
Las Vegas, NV 89106-3801

Mailing address

901 S Rancho Dr
270
Las Vegas, NV 89106
Phone (702) 636-3060

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11068NVMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1750637443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S RANCHO DR",
            "address_2": "270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-636-3060",
            "fax_number": "702-636-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S RANCHO DR",
            "address_2": "270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063801",
            "telephone_number": "702-636-3060",
            "fax_number": "702-636-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUITERI",
        "first_name": "MELANIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RN, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NV",
            "license": "11068",
            "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 Jul 31, 2012; 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.