DR. LEA DANIELLE SAN LUIS DMD
NPI 1063190411
Dentist in Henderson, NV

Q: What is Lea San Luis's NPI number?

The NPI number for Lea San Luis is 1063190411. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Q: What is Lea San Luis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Lea San Luis was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2023PECOS Enrolled

366 W LAKE MEAD PKWY, HENDERSON, NV 89015(702) 464-3090 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lea Danielle San Luis Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEA DANIELLE SAN LUIS DMD (NPI 1063190411) is an individual dentist in Henderson, Nevada, licensed in Nevada (7844) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063190411

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LEA DANIELLE SAN LUISCredential: DMD

Location Address366 W LAKE MEAD PKWYHenderson, NV 89015-7286

Mailing Address366 W Lake Mead PkwyHenderson, NV 89015-7286 · (702) 464-3090

Phone(702) 464-3090

Sole ProprietorNo

Enumeration DateJuly 6, 2023

NPPES CertifiedJuly 6, 2023

✔ NPI 1063190411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 7844

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

366 W LAKE MEAD PKWY, Henderson, NV 89015

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lea Danielle San Luis Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZARINA RAE BALILO SICAT D.D.S.

Dentist (General Practice)

366 W LAKE MEAD PKWY, SUITE 100
HENDERSON, NV 89015

Clark County (702) 464-3090

DREW MCCAFFREY

Dentist

366 W LAKE MEAD PKWY, SUITE 100
HENDERSON, NV 89015

Clark County (702) 464-3090

SHEENA SHARMA D.M.D.

Dentist

366 W LAKE MEAD PKWY
HENDERSON, NV 89015

Clark County (702) 545-6126

DR. JEFFREY UJU DDS

Dentist

366 W LAKE MEAD PKWY
HENDERSON, NV 89015

Clark County (702) 464-3090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lea San Luis's NPI number?

The NPI number for Lea San Luis is 1063190411. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Lea San Luis located?

Lea San Luis practices at 366 W Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 464-3090.

What is Lea San Luis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lea San Luis enrolled in Medicare?

Yes. Lea San Luis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lea San Luis was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.