Organization Active NPI

City of Las Vegas

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1184216970
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CITY OF LAS VEGAS
Practice address
314 Foremaster LN
Las Vegas, NV 89101-1008
Phone
(702) 229-2484
NPI assigned
Feb 3, 2021
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Maurice Cloutier
Title
Manager
Phone
(702) 229-2485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

314 Foremaster LN
Las Vegas, NV 89101-1008

Mailing address

495 S Main St
Las Vegas, NV 89101-6318
Phone (702) 229-6906

Other names 1

  • Courtyard Homeless Resource Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1184216970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016318",
            "telephone_number": "702-229-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FOREMASTER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011008",
            "telephone_number": "702-229-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-229-2485"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Homeless Resource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 15, 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.