Organization Active NPI

Podiatry Boutique PLLC

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1326919853
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Anmy Vu, DPMNPI 1285122135
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.