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DR. RONALD L LEBROKE DMD
NPI 1336310309
Dentist - General Practice in Las Vegas, NV

Active since March 18, 2008PECOS Enrolled
4720 BLUE DIAMOND RD, #100, LAS VEGAS, NV 89139(702) 855-0050(702) 629-2410 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald L Lebroke Dmd NPPES

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

DR. RONALD L LEBROKE DMD (NPI 1336310309) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (5606) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336310309
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RONALD L LEBROKECredential: DMD
Location Address4720 BLUE DIAMOND RD, #100Las Vegas, NV 89139-7661
Mailing Address526 S Tonopah Dr, Suite #200Las Vegas, NV 89106-4043 · (702) 291-2031 · Fax (702) 366-1483
Phone(702) 855-0050
Fax(702) 629-2410
Sole ProprietorYes
Enumeration DateMarch 18, 2008
Last NPPES UpdateJune 20, 2016
✔ NPI 1336310309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NV · 5606✔ Licensed in CA · 57069
Definition
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.
4720 BLUE DIAMOND RD, Las Vegas, NV 89139
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Other Identifiers 1

Medicaid1336310309NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Ronald L Lebroke 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 89139 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 2

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

ARTISTIC ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
4720 BLUE DIAMOND RD, #100
LAS VEGAS, NV 89139
Clark County (702) 877-2200
BLUE DIAMOND DENTAL, LLC
Dentist (General Practice)
4720 BLUE DIAMOND RD, SUITE 100
LAS VEGAS, NV 89139
Clark County (702) 472-7290

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 Ronald Lebroke's NPI number?

The NPI number for Ronald Lebroke is 1336310309. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Where is Ronald Lebroke located?

Ronald Lebroke practices at 4720 Blue Diamond Rd #100, Las Vegas, NV 89139. The listed phone number is (702) 855-0050.

What is Ronald Lebroke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ronald Lebroke enrolled in Medicare?

Yes. Ronald Lebroke is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Lebroke accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Ronald Lebroke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Lebroke was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.