MENTE DALERE (NPI# 1710975420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710975420 |
| Entity Type | Individual |
| Full Name | MENTE DALERE |
| Credential | MD |
| Practice Address |
653 N Town Center Dr Ste 10 Las Vegas NV 89144-0503 |
| Mailing Address |
4513 Sea Dream Ave N Las Vegas NV 89031-3483 |
| Practice Telephone | 7027330981 |
| Mailing Telephone | 7025860830 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2011-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
13135 | NV | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4301045255 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AD2454510 | 01 | |
| CONTROLLED SUBSTANCE | 4301045255 | 01 | |
| ECFMG | 2341592 | 01 | |
| MI | 4589791 | 05 |
| Street Address |
653 N TOWN CENTER DR STE 10 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720324429 | Elmer S. David, Md, Pllc | Pediatrics | 5876 S. Pecos Rd. Bldg. B, Las Vegas, NV 89120 | 2012-12-27 |
| 1174732168 | Rodica Constantin | Pediatrics | 10287 Jamapa Dr, Las Vegas, NV 89178-4028 | 2007-05-22 |
| 1689083057 | Vivian Ekwutosi Onuagu | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2014-08-10 |
| 1437563202 | Farooq Abdulla Md | Pediatrics | 2501 W Charleston Blvd, Las Vegas, NV 89102-2127 | 2014-06-19 |
| 1760822738 | Sunil Kumar Batlahally Venkatarayappa | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2013-07-04 |
| 1912342007 | Alaa Eldin A Eldemerdash | Pediatrics | 1800 W. Charleston Blvd., Las Vegas, NV 89102 | 2013-05-03 |
| 1255654737 | Zeromeh Lorelei Gerber | Pediatrics | 653 N Town Center Dr, Suite 112, Las Vegas, NV 89144-0514 | 2010-03-11 |
| 1255573747 | Sheridan Auerbach Children's Healthcare Services of Nevada PC | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2009-03-30 |
| 1558532762 | Melissa Krebs | Pediatrics | 3186 S Maryland Pkwy, Pediatrix Medical Group, Las Vegas, NV 89109-2317 | 2008-03-14 |
| 1194942193 | Pickert's Children's Healthcare of Nevada Ltd | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2007-04-19 |
| 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.