NPIMap

Organization Active NPI

James R Dettling MD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1225058746
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NV8925 Issued in NV
Legal business name
JAMES R DETTLING MD
Practice address
801 S Rancho Dr Ste F2
Las Vegas, NV 89106-3814
Phone
(702) 877-6781
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mrs. Dianne Sviderski
Title
Office Manager
Phone
(702) 877-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NV8925 NV Primary

Addresses

Primary practice location

801 S Rancho Dr Ste F2
Las Vegas, NV 89106-3814

Mailing address

801 S Rancho Dr Ste F2
Las Vegas, NV 89106-3814
Phone (702) 877-6781

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1225058746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE F2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063814",
            "telephone_number": "702-877-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE F2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063814",
            "telephone_number": "702-877-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R DETTLING MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "SVIDERSKI",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-877-6781",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "NV8925",
            "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 May 21, 2015; 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.