David M Pena Sariol, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NVMT6718 Issued in NV

Practice address

4550 E Charleston Blvd
Las Vegas, NV 89104-5525

Phone

(702) 901-4000

Fax

(702) 445-7620

NPI assigned

May 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1164833638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 COLONIAL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214416",
            "telephone_number": "702-901-4000",
            "fax_number": "702-445-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045525",
            "telephone_number": "702-901-4000",
            "fax_number": "702-445-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA SARIOL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-18",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT6718",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Beatriz Pena Lara
• Serina Pena Martinez
• Yris Pena Melo
• Yamilet Ramona Pena Pena
• Alejandro Raciel Pena Pupo
• Leeyana Angelica Pena-Dannenbring, LSW
• Adriana Pena
• Agustin Pena
• Arianna Alejandrina Pena
• Christopher Pena

• Massage Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.