Organization Active NPI

Steven Delisle DDS PC

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1841511151
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5929 Issued in NV
Legal business name
STEVEN DELISLE DDS PC
Doing business as
sedation dental center
Practice address
2585 S Jones Blvd Ste 1a
Las Vegas, NV 89146-5604
Phone
(702) 489-5460
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Steven Eliot Delisle, DDS
Title
Owner
Phone
(425) 306-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5929 NV Primary

Addresses

Primary practice location

2585 S Jones Blvd Ste 1a
Las Vegas, NV 89146-5604

Mailing address

2585 S Jones Blvd Ste 1a
Las Vegas, NV 89146-5604
Phone (702) 489-5460

Other names 1

  • sedation dental center Doing business as

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1841511151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S JONES BLVD STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465604",
            "telephone_number": "702-489-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S JONES BLVD STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465604",
            "telephone_number": "702-489-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN DELISLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ELIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-306-2579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sedation dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 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.

Verify at the official NPI Registry.