Individual provider Active NPI

Matthew Welebir, DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1942229752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4069 Issued in NV
Practice address
8551 W Lake Mead Blvd
Suite #260
Las Vegas, NV 89128-7642
Phone
(702) 228-2218
Fax
(702) 228-7411
NPI assigned
Jul 19, 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
Dentist 122300000X 4069 NV Primary

Addresses

Primary practice location

8551 W Lake Mead Blvd
Suite #260
Las Vegas, NV 89128-7642

Mailing address

8551 W Lake Mead Blvd
Suite #260
Las Vegas, NV 89128-7642
Phone (702) 228-2218

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
I20160421000704 NV Order and Referring Only - DentistPractitioner - Dentist 4082912241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4069NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lvos, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942229752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD",
            "address_2": "SUITE #260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287642",
            "telephone_number": "702-228-2218",
            "fax_number": "702-228-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD",
            "address_2": "SUITE #260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287642",
            "telephone_number": "702-228-2218",
            "fax_number": "702-228-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELEBIR",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.