Organization Active NPI

Las Vegas Comprehensive Pain Management Center PC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1093380222
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 28, 2021

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)CodeLicenseStatePrimary
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 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.

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

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.

Verify at the official NPI Registry.