Active NPI
Cornelius Dzamesi
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1275958415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2000558-062-101
- Practice address
- 900 Karen Ave Ste B203
Las Vegas, NV 89109-1271 - Phone
- (702) 893-2002
- Fax
- (702) 369-3334
- NPI assigned
- Feb 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2000558-062-101 | NV | Primary |
Addresses
Primary practice location
900 Karen Ave Ste B203
Las Vegas, NV 89109-1271
Mailing address
900 Karen Ave Ste B203
Las Vegas, NV 89109-1271
Phone (702) 893-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000558-062-101 | NV | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiration Behavior Health Clinic | Community/Behavioral Health | Current | Accepting new patients |
| Inspirational Behavior Health Clinic | Community/Behavioral Health | Current | Accepting new patients |
| CBH Wellness Clinic Inc | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1942749767
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1619672102
-
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1619551066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1275958415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 KAREN AVE STE B203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091271",
"telephone_number": "702-893-2002",
"fax_number": "702-369-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 KAREN AVE STE B203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091271",
"telephone_number": "702-893-2002",
"fax_number": "702-369-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZAMESI",
"first_name": "CORNELIUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "2000558-062-101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.