Active NPI
PMD Ventures LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
National Provider Identifier
1316585177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PMD VENTURES LLC
- Practice address
- 9867 Antelope Canyon Ave
Las Vegas, NV 89147-7739 - Phone
- (702) 904-0260
- NPI assigned
- Dec 11, 2019
- Last updated
- Dec 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Hardy
- Title
- Manager
- Phone
- (702) 904-0260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
9867 Antelope Canyon Ave
Las Vegas, NV 89147-7739
Mailing address
9867 Antelope Canyon Ave
Las Vegas, NV 89147-7739
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dhardy1951@gmail.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- PMD Ventures LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pahrump, NV
- NPI 1033758933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1316585177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9867 ANTELOPE CANYON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9867 ANTELOPE CANYON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477739",
"telephone_number": "702-904-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMD VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-904-0260"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dhardy1951@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9867 Antelope Canyon Ave",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891477739",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.