Active NPI
Amador Medical, LLC
Doing business as Amador Medical
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1205128261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- H13003823153857
- Legal business name
- AMADOR MEDICAL, LLC
- Doing business as
- Amador Medical
- Practice address
- 4325 Dean Martin Dr.
Suite 340
Las Vegas, NV 89103 - Phone
- (702) 724-1734
- Fax
- (702) 654-6510
- NPI assigned
- May 10, 2011
- Last updated
- May 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Amador
- Title
- Owner
- Phone
- (702) 462-2247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | H13003823153857 | NV | Primary |
Addresses
Primary practice location
4325 Dean Martin Dr.
Suite 340
Las Vegas, NV 89103
Mailing address
4325 Dean Martin Dr Ste 340
Las Vegas, NV 89103-4168
Phone (702) 724-1734
Other names 1
- Amador Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111205000368 | NV | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 1355516261 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
4325 Dean Martin Dr
Ste 340
Las Vegas, NV 89103
Phone (702) 724-1734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1205128261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 DEAN MARTIN DR STE 340",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034168",
"telephone_number": "702-724-1734",
"fax_number": "702-834-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 DEAN MARTIN DR.",
"address_2": "SUITE 340",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89103",
"telephone_number": "702-724-1734",
"fax_number": "702-654-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMADOR MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-10",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "AMADOR",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-462-2247"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "H13003823153857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amador Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amador Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.