Organization Active NPI

Airport MD - Las Vegas

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1013249481
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AIRPORT MD - LAS VEGAS
Practice address
5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000
Phone
(702) 261-4622
NPI assigned
Feb 9, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Vance
Title
Manager
Phone
(651) 439-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000

Mailing address

5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000
Phone (702) 261-4622

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1013249481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WAYNE NEWTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891115000",
            "telephone_number": "702-261-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WAYNE NEWTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891115000",
            "telephone_number": "702-261-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT MD - LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-439-8484"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.