Active NPI
Edgar Emanuel Salcido
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1346758786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 02564-I
- Practice address
- 7473 W Lake Mead Blvd
Las Vegas, NV 89128-0265 - Phone
- (702) 531-4744
- Fax
- (702) 531-4744
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02564-I | NV | Primary |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
7473 W Lake Mead Blvd
Las Vegas, NV 89128-0265
Mailing address
7473 W Lake Mead Blvd
Las Vegas, NV 89128-0265
Phone (702) 531-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02564-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1346758786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7473 W LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280265",
"telephone_number": "702-531-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7473 W LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280265",
"telephone_number": "702-531-4744",
"fax_number": "702-531-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCIDO",
"first_name": "EDGAR",
"middle_name": "EMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "02564-I",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 6, 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.