NPIMap

Organization Active NPI

Health Enhancement Route Optimizer

  • Occupational Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093161978
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
7546 Issued in NV
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
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Christopher Pederson, MDNPI 1083791313
Title
Owner
Phone
(702) 289-4562

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)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI 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": [],
    "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.

Verify at the official NPI Registry.