Organization Active NPI

Asheesh Dewan M D LTD

  • Pediatric Endocrinology Physician
  • Las Vegas, NV
National Provider Identifier
1265577563
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
12130 Issued in NV
Legal business name
ASHEESH DEWAN M D LTD
Doing business as
The PEDS
Practice address
5235 S Durango Dr Ste 103
Las Vegas, NV 89113-0165
Phone
(702) 851-7287
Fax
(702) 851-7286
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Asheesh K Dewan, MD
Title
President
Phone
(702) 851-7287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X 12130 NV Primary

Addresses

Primary practice location

5235 S Durango Dr Ste 103
Las Vegas, NV 89113-0165

Mailing address

5235 S Durango Dr Ste 103
Las Vegas, NV 89113-0165
Phone (702) 851-7287

Other names 1

  • The PEDS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asheesh Dewan M D LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1265577563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 S DURANGO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130165",
            "telephone_number": "702-851-7287",
            "fax_number": "702-851-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 S DURANGO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130165",
            "telephone_number": "702-851-7287",
            "fax_number": "702-851-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEESH DEWAN M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "ASHEESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-851-7287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NV",
            "license": "12130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The PEDS",
            "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 8, 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.