Organization Active NPI

Platinum Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Henderson, NV
National Provider Identifier
1033626718
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
17614 Issued in NV
Legal business name
PLATINUM PLASTIC SURGERY LLC
Practice address
870 Seven Hills Dr Ste 101
Henderson, NV 89052
Phone
(725) 600-4477
Fax
(725) 600-9191
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Dr. Christopher R Costa, M.D.
Title
Founder/Chairman
Phone
(808) 349-4096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 17614 NV Primary

Addresses

Primary practice location

870 Seven Hills Dr Ste 101
Henderson, NV 89052

Mailing address

870 Seven Hills Dr Ste 101
Henderson, NV 89052-4378
Phone (725) 600-4477

Other practice location 1

5550 Painted Mirage Rd Ste 217
Las Vegas, NV 89149-4620
Phone (702) 410-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1033626718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524378",
            "telephone_number": "725-600-4477",
            "fax_number": "725-600-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "725-600-4477",
            "fax_number": "725-600-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Painted Mirage Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494620",
            "country_code": "US",
            "telephone_number": "702-410-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLATINUM PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER/CHAIRMAN",
        "authorized_official_telephone_number": "808-349-4096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "17614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.