Active NPI
Podiatry Boutique PLLC
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
National Provider Identifier
1326919853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PODIATRY BOUTIQUE PLLC
- Practice address
- 6835 W Charleston Blvd
Las Vegas, NV 89117-1635 - Phone
- (702) 530-2283
- Fax
- (702) 532-2283
- NPI assigned
- Sep 17, 2025
- Last updated
- Sep 17, 2025
- 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
- Anmy Vu, DPM
- Title
- Owner
- Phone
- (702) 530-2283
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
6835 W Charleston Blvd
Las Vegas, NV 89117-1635
Mailing address
6835 W Charleston Blvd
Las Vegas, NV 89117-1635
Phone (702) 530-2283
National Provider Directory
National Provider DirectoryLocations
6835 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 530-2283
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Las Vegas, NV
- NPI 1285122135
-
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1811558968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1326919853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6835 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171635",
"telephone_number": "702-530-2283",
"fax_number": "702-532-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6835 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171635",
"telephone_number": "702-530-2283",
"fax_number": "702-532-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY BOUTIQUE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "ANMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-530-2283",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"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 Sep 17, 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.