Heller Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1205 Issued in NV

Legal business name

HELLER PODIATRY LLC

Practice address

9628 Gray Cap St
Las Vegas, NV 89123-5826

Phone

(702) 623-9585

Fax

(702) 586-7308

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ai-Quoc Heller, DPM

Title

Owner

Phone

(702) 623-9585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1346799640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 GRAY CAP ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235826",
            "telephone_number": "702-623-9585",
            "fax_number": "702-586-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 GRAY CAP ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235826",
            "telephone_number": "702-623-9585",
            "fax_number": "702-586-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLER PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "AI-QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-623-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Hellested

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.