Active NPI
Richard Johnson, MD
- Plastic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1184560534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 068821347
- Practice address
- 2020 Palomino LN Ste 220
Las Vegas, NV 89106-4891 - Phone
- (833) 649-4643
- Fax
- (833) 649-4643
- NPI assigned
- Apr 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 068821347 | NV | Primary |
Addresses
Primary practice location
2020 Palomino LN Ste 220
Las Vegas, NV 89106-4891
Mailing address
2020 Palomino LN Ste 220
Las Vegas, NV 89106-4891
Phone (833) 649-4643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068821347 | NV | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Advanced Device Enterprise LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse
- Orlando, FL
- NPI 1619847472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1184560534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN STE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064891",
"telephone_number": "833-649-4643",
"fax_number": "833-649-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN STE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064891",
"telephone_number": "833-649-4643",
"fax_number": "833-649-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NV",
"license": "068821347",
"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 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.