Organization Active NPI

Expertise Wellness Center LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1063236651
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EXPERTISE WELLNESS CENTER LLC
Practice address
5440 W Sahara Ave Ste 202
Las Vegas, NV 89146-0361
Phone
(702) 480-5799
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Denisis Verona, OWNER
Title
Director
Phone
(702) 296-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5440 W Sahara Ave Ste 202
Las Vegas, NV 89146-0361

Mailing address

5440 W Sahara Ave Ste 202
Las Vegas, NV 89146-0361
Phone (702) 480-5799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1063236651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460361",
            "telephone_number": "702-480-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460361",
            "telephone_number": "702-480-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERTISE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "VERONA",
        "authorized_official_first_name": "DENISIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-296-4844",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2025; 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.