STEPHANIE HERNANDEZ DMD PLLC
NPI 1619774106
Dentist - General Practice in Las Vegas, NV
About Stephanie Hernandez Dmd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE HERNANDEZ DMD PLLC (NPI 1619774106), doing business as Athena Nevada, is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since March 2025. The organization lists Stephanie Hernandez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Hernandez Dmd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Stephanie Hernandez Dmd PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stephanie Hernandez Dmd PLLC's NPI number?
The NPI number for Stephanie Hernandez Dmd PLLC is 1619774106. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Athena Nevada.
Where is Stephanie Hernandez Dmd PLLC located?
Stephanie Hernandez Dmd PLLC is located at 1212 S Maryland Pkwy, Las Vegas, NV 89104. The listed phone number is (725) 291-5588.
What is Stephanie Hernandez Dmd PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Stephanie Hernandez Dmd PLLC enrolled in Medicare?
Yes. Stephanie Hernandez Dmd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stephanie Hernandez Dmd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dentist, reassign their Medicare billing to Stephanie Hernandez Dmd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Hernandez Dmd PLLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Stephanie Hernandez Dmd Pllc · NPI 1619774106
General Practice organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since March 3, 2025.
## Identity
- **NPI:** 1619774106 (Entity type: Organization)
- **Enumerated:** March 3, 2025
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Also known as:** Athena Nevada (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephanie Hernandez, OWNER
## Practice location
- **Address:** 1212 S MARYLAND PKWY, Las Vegas, NV 89104-1728
- **Phone:** (725) 291-5588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619774106) · Data from the CMS NPPES public registry.