Organization Active NPI

Michele Alisa Dilauro MD PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1154556934
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MICHELE ALISA DILAURO MD PC
Practice address
10050 Banburry Cross Dr
130
Las Vegas, NV 89144-7056
Phone
(702) 370-2172
Fax
(702) 946-0866
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. Michele Alisa Dilauro, MD
Title
Owner
Phone
(702) 370-2172

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10050 Banburry Cross Dr
130
Las Vegas, NV 89144-7056

Mailing address

10050 Banburry Cross Dr
130
Las Vegas, NV 89144-7056
Phone (702) 370-2172

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1154556934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 BANBURRY CROSS DR",
            "address_2": "130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891447056",
            "telephone_number": "702-370-2172",
            "fax_number": "702-946-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 BANBURRY CROSS DR",
            "address_2": "130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891447056",
            "telephone_number": "702-370-2172",
            "fax_number": "702-946-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE ALISA DILAURO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DILAURO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-370-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 May 21, 2009; 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.