Active NPI
Marco Tulio Padilla, D.M.D.
- Prosthodontics
- Las Vegas, NV
National Provider Identifier
1891944781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- S5-12
- Practice address
- 1811 South Rainbow Blvd
Suite 202
Las Vegas, NV 89146-0855 - Phone
- (702) 263-4300
- Fax
- (702) 256-7912
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | S5-12 | NV | Primary |
Addresses
Primary practice location
1811 South Rainbow Blvd
Suite 202
Las Vegas, NV 89146-0855
Mailing address
1811 South Rainbow Blvd
Suite 202
Las Vegas, NV 89146-0855
Phone (702) 263-4300
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 |
|---|---|---|---|
| S5-12 | NV | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1891944781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 SOUTH RAINBOW BLVD",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460855",
"telephone_number": "702-263-4300",
"fax_number": "702-256-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 SOUTH RAINBOW BLVD",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460855",
"telephone_number": "702-263-4300",
"fax_number": "702-256-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MARCO",
"middle_name": "TULIO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NV",
"license": "S5-12",
"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 Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.