Individual provider Active NPI

Lovegel Mayor Dealca, D.D.S.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1962546606
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5494 Issued in NV
Practice address
2670 S Jones Blvd
Ste 1
Las Vegas, NV 89146-5341
Phone
(702) 880-9527
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55461 CA
General Practice Dentistry 1223G0001X 5494 NV Primary

Addresses

Primary practice location

2670 S Jones Blvd
Ste 1
Las Vegas, NV 89146-5341

Mailing address

1238 E Champlain Dr
Apt 208
Fresno, CA 93720-5069
Phone (702) 480-9155

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

LicenseStateTypeSpecialty
5494NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1962546606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E CHAMPLAIN DR",
            "address_2": "APT 208",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205069",
            "telephone_number": "702-480-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 S JONES BLVD",
            "address_2": "STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465341",
            "telephone_number": "702-880-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALCA",
        "first_name": "LOVEGEL",
        "middle_name": "MAYOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55461",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5494",
            "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 Jun 23, 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.

Verify at the official NPI Registry.