DR. RONDELL LUCIAN BLAKEY (NPI# 1093980336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093980336 |
| Entity Type | Individual |
| Full Name | DR. RONDELL LUCIAN BLAKEY |
| Credential | D.D.S. |
| Practice Address |
5419 W. Tropicana Ave., Apt.#2702 Las Vegas NV 89103 |
| Practice Telephone | 2022850824 |
| Mailing Telephone | 2022850824 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8515 | NC | Dental Providers |
| Street Address |
5419 W. TROPICANA AVE., APT.#2702 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908958 | Shannon Candid Nevada, Pllc | Dentist | 3651 Lindell Rd Ste D1110, Las Vegas, NV 89103-1254 | 2020-09-23 |
| 1205460334 | Celebraces Decatur Loveland Pllc | Dentist | 4880 W Flamingo Rd, Las Vegas, NV 89103-3704 | 2020-02-27 |
| 1083278659 | Celebraces Francisco Loveland, Pllc | Dentist | 2466 E Desert Inn Rd Ste F, Las Vegas, NV 89121-3622 | 2019-04-29 |
| 1407312754 | Southern Nevada Orthodontics, LLC | Dentist | 6870 S Rainbow Blvd Ste 112, Las Vegas, NV 89118-2108 | 2019-02-12 |
| 1275041915 | Fenn Holden Welch | Dentist | 8551 W Lake Mead Blvd Ste 261, Las Vegas, NV 89128-7642 | 2018-01-16 |
| 1720592140 | Leaver and Gardner Orthodontics LLC | Dentist | 5765 Centennial Center Blvd Ste 110, Las Vegas, NV 89149-7125 | 2017-11-21 |
| 1265945638 | Tomlin Dental Group, PC | Dentist | 6970 South Cimarron Road Suite 100, Las Vegas, NV 89113 | 2017-11-08 |
| 1447779640 | David Chenin, Pllc | Dentist | 4306 S Eastern Ave, Las Vegas, NV 89119-6016 | 2017-09-19 |
| 1326564725 | Sunrise Orthodontics LLC | Dentist | 3196 S Maryland Pkwy Ste 307, Las Vegas, NV 89109-2314 | 2017-08-17 |
| 1902327448 | Melissa Marie Ven Dange | Dentist | 1001 Shadow Ln., Las Vegas, NV 89106-7410 | 2017-07-06 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.