Active NPI
Health Enhancement Route Optimizer
- Occupational Medicine Physician
- Las Vegas, NV
National Provider Identifier
1093161978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 7546
- Legal business name
- HEALTH ENHANCEMENT ROUTE OPTIMIZER
- Practice address
- 401 Royalton Dr
Las Vegas, NV 89144-0824 - Phone
- (702) 289-4562
- NPI assigned
- May 10, 2016
- 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
- Christopher Pederson, MD
- Title
- Owner
- Phone
- (702) 289-4562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 7546 | NV | Primary |
Addresses
Primary practice location
401 Royalton Dr
Las Vegas, NV 89144-0824
Mailing address
401 Royalton Dr
Las Vegas, NV 89144-0824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083791313 | Other | NV | MEDICARE INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1093161978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROYALTON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROYALTON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440824",
"telephone_number": "702-289-4562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH ENHANCEMENT ROUTE OPTIMIZER",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "PEDERSON",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-289-4562",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NV",
"license": "7546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL NPI",
"identifier": "1083791313",
"state": "NV"
}
],
"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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.