Smith Plastic Surgery Building

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SMITH PLASTIC SURGERY BUILDING

Doing business as

SMITH PLASTIC SURGERY

Practice address

7650 W Sahara Ave
Las Vegas, NV 89117-2750

Phone

(702) 371-6921

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Kristine Maxwell

Title

Office Administrator

Phone

(702) 371-6921

Specialties & licenses 1

Addresses

Other names 1

• SMITH PLASTIC SURGERY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 29C0001134

Legal name

SMITH PLASTIC SURGERY BUILDING

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 10, 2021

Last certification

Aug 1, 2022

Ownership / control type

Proprietary

Facility address

7650 West Sahara Avenue
Las Vegas, NV 89117

Locations

Practitioners 1

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

• Lane Fielding Smith, M.D.

  • Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1982779526
  NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1336772375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172750",
            "telephone_number": "702-371-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172750",
            "telephone_number": "702-371-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PLASTIC SURGERY BUILDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-371-6921"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@smithsurgery.com",
            "affiliation": "N",
            "address_1": "7650 W Sahara Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891172750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SMITH PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lola Denise Smith Davis
• Karen Yvonne Smith de Shay
• Jantell Cierra Smith Mahoney
• Smith Mental Health LLC
• Manuela Smith Olivas
• Smith Plastic Surgery Institute
• Carol Meridith Smith Pressley
• Reina Smith Teran
• Smith Therapy Partners
• Deanna Smith- Gonzalez

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.