Active NPI
LVS Group Corp
- Infectious Disease Physician
- N Las Vegas, NV
National Provider Identifier
1033574769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- NV9820
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LVS6843739 | Other | NV | COMMERCIAL |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Joni Ameiria Lynch, BA, QMHA
- Krystal Macauley
- Graciela Macedo
- Carol Annette Mack, M.S.
- Maddison Ave Dental
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.