Organization Active NPI

R Dominic Nardell MD PC

Doing business as Nardell Family Medicine

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1033243076
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
R DOMINIC NARDELL MD PC
Doing business as
Nardell Family Medicine
Practice address
3150 N Tenaya Way Ste 370
Las Vegas, NV 89128-0485
Phone
(702) 558-2111
Fax
(702) 558-8333
NPI assigned
Mar 14, 2007
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Ronald Dominic Nardell, MDNPI 1467434688
Title
President
Phone
(702) 558-2111

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3150 N Tenaya Way Ste 370
Las Vegas, NV 89128-0485

Mailing address

1930 Village Center Cir Ste 3-328
Las Vegas, NV 89134-6238
Phone (702) 558-2111

Other names 1

  • NARDELL FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
#3328
Las Vegas, NV 89134

1930 Village Center Cir
Ste 3328
Las Vegas, NV 89134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1033243076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-328",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346238",
            "telephone_number": "702-558-2111",
            "fax_number": "702-558-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 370",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280485",
            "telephone_number": "702-558-2111",
            "fax_number": "702-558-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DOMINIC NARDELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "NARDELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-558-2111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NARDELL FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 12, 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.