Faber III, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FABER III, LTD.

Doing business as

Summerlin Functional Medicine

Practice address

8811 W Sahara Ave Ste 200
Las Vegas, NV 89117-4813

Phone

(702) 333-2627

NPI assigned

Feb 21, 2018

Last updated

Apr 17, 2018By 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

John M Bowman, MD

Title

President

Phone

(702) 333-2627

Specialties & licenses 1

Addresses

Other names 1

• Summerlin Functional Medicine Doing business as

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1275034621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174813",
            "telephone_number": "702-333-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABER III, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-333-2627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Functional Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fab Enterprises LLC
• Robert G Fabbri II
• Rexel John Pablo Fabe, NP
• Verna Fabella-Hicks, PH.D.
• Romell Royce Desear Fabella, PHARMD
• Remedios Fabia
• Almira Fabian
• Fran Fabien
• Karen Marie Fabio
• Tre Fabiyi, RBT

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.