DMA WELLNESS CENTER CORP. – NPI #1417815689
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

DMA WELLNESS CENTER CORP. is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1417815689 to DMA WELLNESS CENTER CORP. on January 14, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 20, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DMA WELLNESS CENTER CORP. below.

NPI Profile for
DMA WELLNESS CENTER CORP.

NPI Number
1417815689
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DMA WELLNESS CENTER CORP.
Primary location
3430 E FLAMINGO RD STE 307
LAS VEGAS, NV 89121-5066
Phone: (786) 752-0846 Fax: (702) 846-4112
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAGMAR DE LA CRUZ
MANAGING DIRECTOR
Phone: (786) 752-0846
Updated
Certification Date
Jan 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
2084B0040X
- Psychiatry & Neurology / Behavioral Neurology & Neuropsychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.