Individual provider Active NPI

Felipe Paleracio, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1851366413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4685T Issued in NV
Practice address
601 S Rancho Dr
Suite B-15
Las Vegas, NV 89106-4899
Phone
(702) 385-1166
Fax
(702) 385-1008
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4685T NV Primary

Addresses

Primary practice location

601 S Rancho Dr
Suite B-15
Las Vegas, NV 89106-4899

Mailing address

601 Rancho Drive
Suite B-15
Las Vegas, NV 89106
Phone (702) 385-1166

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160628001472 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880985571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4685TNVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851366413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RANCHO DRIVE",
            "address_2": "SUITE B-15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-385-1166",
            "fax_number": "702-385-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "SUITE B-15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-385-1166",
            "fax_number": "702-385-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERACIO",
        "first_name": "FELIPE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4685T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.