Smoke Ranch Specialists LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SMOKE RANCH SPECIALISTS LLC

Practice address

7140 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128-3157

Phone

(702) 839-4825

Fax

(702) 998-2198

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Rosa Gonzalez

Title

Credentialing Coordinator

Phone

(702) 839-4821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1245782861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-839-4825",
            "fax_number": "702-998-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-839-4825",
            "fax_number": "702-998-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKE RANCH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-839-4821"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiths Food & Drug Centers Inc
• Shantel Smittle
• SML Mental Health Services, LLC
• Smmi Direct Inc
• Smoke Ranch Dental Gubler, DDS LTD
• Smoke Ranch Surgery Center, LLC
• Antione Lamont Smoot
• Jasmine Smoot
• Lauryn Smoot
• Smooth Dentistry

• Neurology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.