NPIMap

Organization Active NPI

TCM for Wellness LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1295559615
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TCM FOR WELLNESS LLC
Practice address
5120 S Pecos Rd
Las Vegas, NV 89120-1237
Phone
(725) 332-4294
Fax
(725) 224-0909
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
William V QuibaNPI 1750959086
Title
Aprn
Phone
(725) 332-4294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5120 S Pecos Rd
Las Vegas, NV 89120-1237

Mailing address

5120 S Pecos Rd
Las Vegas, NV 89120-1237
Phone (725) 332-4294

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1295559615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201237",
            "telephone_number": "725-332-4294",
            "fax_number": "725-224-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201237",
            "telephone_number": "725-332-4294",
            "fax_number": "725-224-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCM FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "QUIBA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "725-332-4294"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jan 10, 2025; 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.