Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1003014101
Modelo Dental Center
Organization Subpart: NO
Active
NPI Number1003014101
NPI TypeNPI-2 Organization
SpecialtyDentist, General Practice
Provider Details
NPI1003014101
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-07-10
Last Updated2007-07-10
Authorized OfficialBertha Alarcon
COE
Phone: 7024366186
Mailing Address4660 S Eastern Ave Ste 101
Las Vegas, NV 89119-6138
United States
Phone: (702) 436-6186 | Fax: (702) 436-3276
📍 View Map
Primary Practice Address4660 S Eastern Ave Ste 101
Las Vegas, NV 89119-6138
United States
Phone: (702) 436-6186 | Fax: (702) 436-3276
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General Practice--
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About NPI 1003014101

Modelo Dental Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1003014101. The primary specialty listed is Dentist, General Practice. The organization is located in Las Vegas, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-07-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003014101?

NPI 1003014101 belongs to Modelo Dental Center, a Dentist, General Practice in Las Vegas, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003014101 active?

The current status of NPI 1003014101 in the NPPES registry is Active. The record was last updated on 2007-07-10.

What specialty is NPI 1003014101?

NPI 1003014101 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003014101?

You can verify NPI 1003014101 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003014101?

The primary practice address on file for NPI 1003014101 is 4660 S Eastern Ave Ste 101, Las Vegas, NV 89119-6138. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003014101 issued?

NPI 1003014101 was first issued (enumerated) on 2007-07-10. The NPPES record was last updated on 2007-07-10.

Practice Location Map

Modelo Dental Center is located at 4660 S Eastern Ave Ste 101, Las Vegas, NV. Use the map below to find directions or verify the practice location.

📍 4660 S Eastern Ave Ste 101, Las Vegas, NV 89119-6138  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Modelo Dental Center. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162