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DR. JACQUELINE NICOLE PATTERSON D.D.S.
NPI 1790939403
Dentist in Las Vegas, NV

Active since November 07, 2008PECOS Enrolled
2560 MONTESSOURI ST STE 109, LAS VEGAS, NV 89117(702) 362-9353 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Nicole Patterson D.d.s. NPPES

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

DR. JACQUELINE NICOLE PATTERSON D.D.S. (NPI 1790939403) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (5804) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790939403
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JACQUELINE NICOLE PATTERSONCredential: D.D.S.
Location Address2560 MONTESSOURI ST STE 109Las Vegas, NV 89117-3063
Mailing Address2920 Pleasant Lake DrLas Vegas, NV 89117-2253 · (702) 336-5469
Phone(702) 362-9353
Sole ProprietorNo
Enumeration DateNovember 7, 2008
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1790939403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NV · 5804
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 5804 (NV)
2560 MONTESSOURI ST STE 109, Las Vegas, NV 89117
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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)

Dr. Jacqueline Nicole Patterson D.d.s. 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 89117 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 3

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

PAUL JAHNG PARK DDS
Dentist (General Practice)
2560 MONTESSOURI ST STE 109
LAS VEGAS, NV 89117
Clark County (702) 362-9353
CHAD N GUBLER DDS CASINO DIRECT LTD
Dentist
2560 MONTESSOURI ST STE 109
LAS VEGAS, NV 89117
Clark County (702) 362-9353
VERNON BARRUGA DDS
Dentist
2560 MONTESSOURI ST STE 109
LAS VEGAS, NV 89117
Clark County (702) 822-1008

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 Jacqueline Patterson's NPI number?

The NPI number for Jacqueline Patterson is 1790939403. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Jacqueline Patterson located?

Jacqueline Patterson practices at 2560 Montessouri St Ste 109, Las Vegas, NV 89117. The listed phone number is (702) 362-9353.

What is Jacqueline Patterson's specialty?

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

Is Jacqueline Patterson enrolled in Medicare?

Yes. Jacqueline Patterson is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Patterson accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jacqueline Patterson 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 Jacqueline Patterson was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.