Desert Dermatology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

11221 Issued in NV

Legal business name

DESERT DERMATOLOGY LLC

Practice address

9167 W Flamingo Rd
Suite 110
Las Vegas, NV 89147-6472

Phone

(702) 233-4569

Fax

(702) 255-3223

NPI assigned

May 23, 2008

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ivan Leposavic, M.D.

Title

Owner

Phone

(702) 233-4569

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Lynn Atiyeh, PA-C

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1487199501
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1255599577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9167 W FLAMINGO RD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476472",
            "telephone_number": "702-233-4569",
            "fax_number": "702-255-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9167 W FLAMINGO RD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476472",
            "telephone_number": "702-233-4569",
            "fax_number": "702-255-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "LEPOSAVIC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-233-4569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Breeze Hospice
• Desert Cardiovascular Surgery
• Desert Care Homes
• Desert Care LLC (HomeWell Care Services)
• Desert Cliffs Eyecare, PLLC
• Desert Eastern CVS LLC (CVS Pharmacy)
• Desert Grace Health Services, Inc. (Desert Grace Home Health)
• Desert Grit Mental Health LLC
• Desert Harmony Health LLC
• Desert Hearts Family and Community Services LLC

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.