Organization Active NPI

LVS Group Corp

  • Infectious Disease Physician
  • N Las Vegas, NV
National Provider Identifier
1033574769
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
NV9820 Issued in NV
Legal business name
LVS GROUP CORP
Practice address
3365 W Craig Rd
Suite 10
N Las Vegas, NV 89032-5112
Phone
(702) 684-3739
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Damian Drago
Title
Ceo
Phone
(702) 684-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X NV9820 NV Primary

Addresses

Primary practice location

3365 W Craig Rd
Suite 10
N Las Vegas, NV 89032-5112

Mailing address

3365 W Craig Rd
Suite 10
N Las Vegas, NV 89032-5112
Phone (702) 684-3739

Other identifiers 1

IdentifierTypeStateIssuer
LVS6843739OtherNVCOMMERCIAL

National Provider Directory

National Provider Directory

Locations

3365 W Craig Rd
Ste 10
North Las Vegas, NV 89032
Phone (702) 684-3739

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1033574769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD",
            "address_2": "SUITE 10",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890325112",
            "telephone_number": "702-684-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD",
            "address_2": "SUITE 10",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890325112",
            "telephone_number": "702-684-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVS GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "DRAGO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-684-3739"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "NV9820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "LVS6843739",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.