Organization Active NPI

American Dialysis Centers, North Las Vegas LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1023599784
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AMERICAN DIALYSIS CENTERS, NORTH LAS VEGAS LLC
Practice address
4107 W Cheyenne Ave
North Las Vegas, NV 89032-3476
Phone
(702) 383-9741
Fax
(702) 387-1145
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Cyril Ovuworie, M.D.NPI 1255498135
Title
Manager
Phone
(702) 232-1186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

4107 W Cheyenne Ave
North Las Vegas, NV 89032-3476

Mailing address

900 S Main St
Las Vegas, NV 89101-6425
Phone (702) 383-9741

Other names 1

  • ADC, NORTH LAS VEGAS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181005002191 NV Part A Provider - End-Stage Renal Disease Facility (ESRD) 6002168838 Practice locations: North Las Vegas, NV

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
292523 American Dialysis Centers Las VegasCCN 292523
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Nov 22, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
19

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
292556-American Dialysis Centers North Las Vegas LLCCCN 292556
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jul 17, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
31

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

4107 W Cheyenne Ave
Ste B
North Las Vegas, NV 89032
Phone (702) 383-9741

4107 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 369-3699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1023599784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016425",
            "telephone_number": "702-383-9741",
            "fax_number": "702-387-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323476",
            "telephone_number": "702-383-9741",
            "fax_number": "702-387-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIALYSIS CENTERS, NORTH LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "OVUWORIE",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-232-1186",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADC, NORTH LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADC, NORTH LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.