Prime Wave Franchising , Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PRIME WAVE FRANCHISING , INC.

Practice address

8285 W Arby Ave Ste 175
Las Vegas, NV 89113-2238

Phone

(702) 625-4334

Fax

(702) 331-6088

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Richard Parks

Title

President

Phone

(702) 625-4334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1174258206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132238",
            "telephone_number": "702-625-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132238",
            "telephone_number": "702-625-4334",
            "fax_number": "702-331-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME WAVE FRANCHISING , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-625-4334"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare of Nevada LLC
• Prime Homecare Agency LLC
• Prime Hospitalists LLC
• Prime Medical Center LLC
• Prime Sports & Wellness Center LLC
• Primecare DX LLC
• Primecare Facility
• Primecare Homehealth Agency,LLC
• Primecare Palliative & Hospice LLC
• Jessica Lynn Primerano, LCSW

• Emergency Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.