Angelica Jane Bustos Thacker, DMD
NPI 1073251963 · General Practice Dentistry · Las Vegas, NV
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angelica Jane Bustos Thacker, DMD is a General Practice Dentistry provider in Las Vegas, NV (NPI 1073251963).
Provider details
- NPI number
- 1073251963
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 7617 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
4 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$522 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-22
- Last updated
- 2023-03-17
- Certified
- 2023-03-17
Frequently asked questions
- What is Angelica Jane Bustos Thacker's NPI number?
- Angelica Jane Bustos Thacker's National Provider Identifier (NPI) is 1073251963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angelica Jane Bustos Thacker's specialty?
- Angelica Jane Bustos Thacker is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Angelica Jane Bustos Thacker located?
- Angelica Jane Bustos Thacker's practice location on file with NPPES is 7603 Grand Teton Dr Ste 140, Las Vegas, NV 89131-1602.
- What is Angelica Jane Bustos Thacker's phone number?
- The practice phone number listed in the NPPES registry for Angelica Jane Bustos Thacker is (702) 957-1013.
- Does Angelica Jane Bustos Thacker accept Medicare?
- Angelica Jane Bustos Thacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Angelica Jane Bustos Thacker's NPI active?
- Yes — Angelica Jane Bustos Thacker's NPI (1073251963) is active in the NPPES registry as of the last update on 2023-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.