Organization Active NPI

Nikki Lace & Co LLC

  • Prosthetic/Orthotic Supplier
  • Las Vegas, NV
National Provider Identifier
1235881699
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NIKKI LACE & CO LLC
Doing business as
Nikki Lace & Co
Practice address
6835 W Charleston Blvd # 102
Las Vegas, NV 89117-1635
Phone
(702) 498-5606
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Alexandra Lee
Title
Ceo
Phone
(702) 497-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6835 W Charleston Blvd # 102
Las Vegas, NV 89117-1635

Mailing address

304 S Jones Blvd # 2556
Las Vegas, NV 89107-2623
Phone (702) 498-5606

Other names 1

  • Nikki Lace & Co Doing business as

National Provider Directory

National Provider Directory

Locations

6835 W Charleston Blvd
#102
Las Vegas, NV 89117
Phone (702) 498-5606

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1235881699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 2556",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-498-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 W CHARLESTON BLVD # 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171635",
            "telephone_number": "702-498-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI LACE & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-497-5606"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nikki Lace & Co",
            "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 Feb 2, 2022; 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.