MOINCA R PONCE (NPI# 1568098309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568098309 |
| Entity Type | Organization |
| Organization Name | MOINCA R PONCE |
| Practice Address |
9450 West Russell Rd Suite #103 Las Vegas NV 89148 |
| Mailing Address |
8036 Barndance Ct Las Vegas NV 89149-4754 |
| Practice Telephone | 7028272200 |
| Mailing Telephone | 7028067439 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. MONICA R PONCE (PROVIDER/OWNER) |
| Authorized Official Telephone | 7028067439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1174598882 | 05 |
| Other Name | Type Code |
|---|---|
| Delicate Dental | Doing Business As Name - Organization |
| Street Address |
9450 WEST RUSSELL RD SUITE #103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| 1467958256 | Florabelle Candido Miralles | Nurse Practitioner | 6040 South Fort Apache Road, Suite 100, Las Vegas, NV 89148 | 2018-04-02 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| 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.