Active NPI
John Lepore, D.O.
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1417981986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1159
- Practice address
- 10105 Banburry Cross Dr
Suite 170
Las Vegas, NV 89144-6646 - Phone
- (702) 765-5437
- Fax
- (702) 240-7268
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1159 | NV | Primary |
Addresses
Primary practice location
10105 Banburry Cross Dr
Suite 170
Las Vegas, NV 89144-6646
Mailing address
10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503771 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summerlin Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1417981986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DR STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DR",
"address_2": "SUITE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446646",
"telephone_number": "702-765-5437",
"fax_number": "702-240-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPORE",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "1159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503771",
"state": "NV"
}
],
"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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.