Organization Active NPI

Digestive Disease Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1073621512
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
469ASC-8 Issued in NV
Legal business name
DIGESTIVE DISEASE CENTER
Practice address
2136 E Desert Inn Rd Ste B
Las Vegas, NV 89169-3247
Phone
(702) 734-0505
Fax
(702) 734-3912
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Cynthia J Reyes
Title
Practice Manager
Phone
(702) 760-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 469ASC-8 NV Primary

Addresses

Primary practice location

2136 E Desert Inn Rd Ste B
Las Vegas, NV 89169-3247

Mailing address

2657 Windmill Pkwy
Henderson, NV 89074-3384
Phone (702) 734-0505

National Provider Directory

National Provider Directory

Locations

2136 E Desert Inn Rd
Ste B
Las Vegas, NV 89169
Phone (702) 734-0505

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1073621512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-734-0505",
            "fax_number": "702-734-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 E DESERT INN RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693247",
            "telephone_number": "702-734-0505",
            "fax_number": "702-734-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-760-7292"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "469ASC-8",
            "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 Oct 8, 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.