Individual provider Active NPI

Mindy Z Amador Cubas

  • Point of Service
  • North Las Vegas, NV
National Provider Identifier
1083431159
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
NV202431790-46 Issued in NV
Practice address
49 W Kraft Ave
North Las Vegas, NV 89031-2596
Phone
(725) 264-0492
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NV202431790-46 NV Primary

Addresses

Primary practice location

49 W Kraft Ave
North Las Vegas, NV 89031-2596

Mailing address

49 W Kraft Ave
North Las Vegas, NV 89031-2596
Phone (725) 264-0492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NV202431790-46NVMDPoint of Service

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1083431159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W KRAFT AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312596",
            "telephone_number": "725-264-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W KRAFT AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312596",
            "telephone_number": "725-264-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR CUBAS",
        "first_name": "MINDY",
        "middle_name": "Z",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NV",
            "license": "NV202431790-46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.