ALEXANDREA WABARA D.M.D.
NPI 1417405911
Dentist in Las Vegas, NV

Q: What is Alexandrea Wabara's NPI number?

The NPI number for Alexandrea Wabara is 1417405911. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Q: What is Alexandrea Wabara'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 Alexandrea Wabara was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 14, 2016PECOS Enrolled

2212 S EASTERN AVE, LAS VEGAS, NV 89104(702) 735-9334(702) 735-9335 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 11, 2020, Sep 14, 2016 (2 updates tracked since 2016).

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About Alexandrea Wabara D.m.d. NPPES

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

ALEXANDREA WABARA D.M.D. (NPI 1417405911) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (7189) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417405911

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameALEXANDREA WABARACredential: D.M.D.

Location Address2212 S EASTERN AVELas Vegas, NV 89104-4124

Mailing Address3325 Research WayCarson City, NV 89706-7913 · (775) 888-6610 · Fax (775) 888-4904

Phone(702) 735-9334

Fax(702) 735-9335

Sole ProprietorNo

Enumeration DateSeptember 14, 2016

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1417405911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 7189

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 32269 (TX)

2212 S EASTERN AVE, Las Vegas, NV 89104

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Other Identifiers 1

Medicaid1417405911NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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)

Alexandrea Wabara D.m.d. 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 89104 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 20

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

DR. VIVEK GANDOTRA DDS

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