Dianne Eltagunde

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8251 Issued in NV

Practice address

2454 Wingfield Hills Rd Ste 100
Sparks, NV 89436-7202

Phone

(775) 525-5510

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sparks Modern Dentistry

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1811571631
  NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1902795453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SABATA WAY APT 3173",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894361946",
            "telephone_number": "209-233-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 WINGFIELD HILLS RD STE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367202",
            "telephone_number": "775-525-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAGUNDE",
        "first_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "8251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarina Elliott
• Lissanne Marie Ellis
• Julie M Ellison, COTA
• Darin M. Elquist
• Rebecca Louise Elquist
• Dawn Elton, PA - C
• Embrace Dental
• Taylor Emerson
• Emily Lee DDS PC
• Emmett Austin McFerrin (McFerrin Chriopractic)

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.