Active NPI
Dartrell Simon
- Homemaker
- North Las Vegas, NV
National Provider Identifier
1285553784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 4225 Pavo CT
North Las Vegas, NV 89032-0741 - Phone
- (702) 572-7170
- NPI assigned
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | NV | Primary |
Addresses
Primary practice location
4225 Pavo CT
North Las Vegas, NV 89032-0741
Mailing address
4225 Pavo CT
North Las Vegas, NV 89032-0741
Phone (702) 517-3349
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1285553784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 PAVO CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320741",
"telephone_number": "702-517-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 PAVO CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320741",
"telephone_number": "702-572-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "DARTRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.