Organization Active NPI

Amador Medical, LLC

Doing business as Amador Medical

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1205128261
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
H13003823153857 Issued in NV
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000368 NV DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1355516261 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.