Active NPI
Derrick Copes
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1063756161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DERRICK COPES
- Practice address
- 1230 W Owens Ave Ste 6
Las Vegas, NV 89106-2451 - Phone
- (702) 636-5373
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- 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
- Derrick Copes, BST
- Title
- Administrator
- Phone
- (702) 636-5373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV | Primary |
Addresses
Primary practice location
1230 W Owens Ave Ste 6
Las Vegas, NV 89106-2451
Mailing address
1230 W Owens Ave Ste 6
Las Vegas, NV 89106-2451
Phone (702) 636-5373
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Rehabilitation Practitioner
- Las Vegas, NV
- NPI 1023352127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1063756161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 W OWENS AVE STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062451",
"telephone_number": "702-636-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 W OWENS AVE STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062451",
"telephone_number": "702-636-5373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERRICK COPES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "COPES",
"authorized_official_first_name": "DERRICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "702-636-5373",
"authorized_official_credential": "BST"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.