Organization Active NPI

Las Vegas Indian Center Inc

  • Voluntary or Charitable Agency
  • Las Vegas, NV
National Provider Identifier
1154664464
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
N35-00001-I-125420 Issued in NV
Legal business name
LAS VEGAS INDIAN CENTER INC
Practice address
2300 W Bonanza Rd
Las Vegas, NV 89106-4718
Phone
(702) 647-5842
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Debra Reed
Title
Executive Director
Phone
(702) 647-5842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X N35-00001-I-125420 NV Primary

Addresses

Primary practice location

2300 W Bonanza Rd
Las Vegas, NV 89106-4718

Mailing address

2300 W Bonanza Rd
Las Vegas, NV 89106-4718
Phone (702) 647-5842

National Provider Directory

National Provider Directory

Locations

2300 W Bonanza Rd
Las Vegas, NV 89106
Phone (702) 647-5842

Practitioners & affiliated clinicians

Practitioners 4

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": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1154664464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064718",
            "telephone_number": "702-647-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064718",
            "telephone_number": "702-647-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS INDIAN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-647-5842"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NV",
            "license": "N35-00001-I-125420",
            "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 Apr 22, 2013; 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.