Active NPI
Unlv Medicine
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1104738368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- UNLV MEDICINE
- Practice address
- 4000 E Charleston Blvd Ste 130
Las Vegas, NV 89104-6681 - Phone
- (702) 968-4000
- NPI assigned
- Sep 21, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- Yes
- Parent organization
- UNLV MEDICINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Gibson
- Title
- Credentialing Manager
- Phone
- (702) 780-2314
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Behavior Analyst | 103K00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4000 E Charleston Blvd Ste 130
Las Vegas, NV 89104-6681
Mailing address
4000 E Charleston Blvd Ste 130
Las Vegas, NV 89104-6681
Phone (702) 968-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1104738368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 E CHARLESTON BLVD STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891046681",
"telephone_number": "702-968-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 E CHARLESTON BLVD STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891046681",
"telephone_number": "702-968-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNLV MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNLV MEDICINE",
"enumeration_date": "2026-09-21",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "702-780-2314"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- University of NV School of Medicine Multi-Specialty Group Practice So (MedSchool Associates South)
- University of NV School of Medicine Multi-Specialty Group South (MEDSCHOOL Associates South)
- University of NV School of Medicine Mutli Specialty Group Practice So (MedSchool Associates South)
- Unlimited Possibilities (A Better Life)
- Unlimited Possibilities (Unlimited Possibilities, LLC)
- Unlv Medicine (Mojave Pharmacy)
- Unlv Medicine
- Unlv Medicine
- Unlv Medicine
- Unlv Orthodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.