Coronado Canyon Dentistree
NPI 1043888936 · Dental Clinic/Center · Henderson, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coronado Canyon Dentistree is a Dental Clinic/Center organization in Henderson, NV (NPI 1043888936).
Provider details
- NPI number
- 1043888936
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eleazar Santiago, Doctor(702) 610-8734
Specialties & taxonomies
Ambulatory Health Care Facilities
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Eleazar Viray Santiago Gen Ptr
- Doing business as
- Eleazar Viray Santiago Gen Ptr
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Frequently asked questions
- What is Coronado Canyon Dentistree's NPI number?
- Coronado Canyon Dentistree's National Provider Identifier (NPI) is 1043888936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coronado Canyon Dentistree?
- Coronado Canyon Dentistree is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coronado Canyon Dentistree located?
- Coronado Canyon Dentistree's practice location on file with NPPES is 660 S Green Valley Pkwy Ste 110, Henderson, NV 89052-0431.
- What is Coronado Canyon Dentistree's phone number?
- The practice phone number listed in the NPPES registry for Coronado Canyon Dentistree is (702) 610-8734.
- Does Coronado Canyon Dentistree accept Medicare?
- Coronado Canyon Dentistree is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coronado Canyon Dentistree?
- The authorized official listed on Coronado Canyon Dentistree's NPPES record is Eleazar Santiago, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coronado Canyon Dentistree's NPI active?
- Yes — Coronado Canyon Dentistree's NPI (1043888936) is active in the NPPES registry as of the last update on 2023-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.