Active NPI
Las Vegas Comprehensive Pain Management Center PC
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1093380222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LAS VEGAS COMPREHENSIVE PAIN MANAGEMENT CENTER PC
- Practice address
- 8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042 - Phone
- (702) 463-8548
- Fax
- (702) 463-8384
- NPI assigned
- May 20, 2021
- 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
- Wanda Hall
- Title
- Credentialing Contract Specialist
- Phone
- (619) 640-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042
Mailing address
8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042
Phone (702) 463-8548
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Diego, CA
- NPI 1811930357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1093380222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 W SUNSET RD STE 350",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485042",
"telephone_number": "702-463-8548",
"fax_number": "702-463-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 W SUNSET RD STE 350",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485042",
"telephone_number": "702-463-8548",
"fax_number": "702-463-8384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS VEGAS COMPREHENSIVE PAIN MANAGEMENT CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "CREDENTIALING CONTRACT SPECIALIST",
"authorized_official_telephone_number": "619-640-5555"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Las Vegas Caring Pca
- Las Vegas Charter School of the Deaf
- Las Vegas Chips (Southern Nevada CHIPS)
- Las Vegas Chips (Southern Nevada CHIPs)
- Las Vegas Community Pharmacy, Inc (Las Vegas Community Pharmacy)
- Las Vegas Comprehensive Pain Management Center PC
- Las Vegas Comprehensive Pain Management PC
- Las Vegas Comprehensive Pain Management PC
- Las Vegas Concierge Orthopedics PLLC
- Las Vegas Counselng Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.