NPIMap

Organization Active NPI

Anthony M. Ricciardi Jr. LTD Inc.

Doing business as Foot Ankle & Hand Center of Las Vegas

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1356481501
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9507 Issued in NV
Legal business name
ANTHONY M. RICCIARDI JR. LTD INC.
Doing business as
Foot Ankle & Hand Center of Las Vegas
Practice address
7135 W. Sahara Ave.
Suite 201
Las Vegas, NV 89117-2828
Phone
(702) 878-2455
Fax
(702) 878-4875
NPI assigned
Feb 7, 2007
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Anthony M RicciardiNPI 1629087242
Title
Owner
Phone
(702) 878-2455

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
Podiatrist 213E00000X 9507 NV Primary

Addresses

Primary practice location

7135 W. Sahara Ave.
Suite 201
Las Vegas, NV 89117-2828

Mailing address

7135 W. Sahara Ave.
Suite 201
Las Vegas, NV 89117-2828
Phone (702) 878-2455

Other identifiers 1

IdentifierTypeStateIssuer
1356481501MedicaidNV

Other names 1

  • Foot Ankle & Hand Center of Las Vegas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050519000999 NV Part B Supplier - Clinic/Group Practice 2163460031 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Anthony M Ricciardi Jr LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6120 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 213-9093

Practitioners & affiliated clinicians

Practitioners 3

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1356481501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 W. SAHARA AVE.",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172828",
            "telephone_number": "702-878-2455",
            "fax_number": "702-878-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 W. SAHARA AVE.",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172828",
            "telephone_number": "702-878-2455",
            "fax_number": "702-878-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M. RICCIARDI JR. LTD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-878-2455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356481501",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Ankle & Hand Center of Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.