Active NPI
Jason Waite, DPM
- Podiatrist
- Las Vegas, NV
National Provider Identifier
1073950440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 9114085-0501
- Practice address
- 1257 Paiute Cir
Las Vegas, NV 89106-3202 - Phone
- (516) 506-8839
- NPI assigned
- May 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 9114085-0501 | UT | |
| Podiatrist | 213E00000X | 9114085-0501 | UT | Primary |
Addresses
Primary practice location
1257 Paiute Cir
Las Vegas, NV 89106-3202
Mailing address
PO Box 110
Castle Dale, UT 84513-0110
Phone (516) 506-8839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Lincoln St
Moapa, NV 89025-0819
Phone (702) 865-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9114085-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irene Benn Medical Center | Current | Accepting new patients |
Locations
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
Interoperability endpoints
- jason.waite@lvpt.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1073950440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110",
"city": "CASTLE DALE",
"state": "UT",
"postal_code": "845130110",
"telephone_number": "516-506-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 PAIUTE CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063202",
"telephone_number": "516-506-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-25",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "UT",
"license": "9114085-0501",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "9114085-0501",
"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 Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.