NPIMap

Organization Active NPI

Nevada Orthopedic & Spine Center

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1437158771
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C14-00279-3-092590 Issued in NV
Legal business name
NEVADA ORTHOPEDIC & SPINE CENTER
Practice address
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone
(702) 878-0393
NPI assigned
Jul 19, 2005
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Melanie L Lapolla
Title
Medical Staff Credentialing Manager
Phone
(702) 258-5521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C14-00279-3-092590 NV Primary

Addresses

Primary practice location

7455 W Washington Ave
#160
Las Vegas, NV 89128-4337

Mailing address

7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone (702) 878-0393

Other practice location 1

1505 Wigwam Pkwy Ste 330
Henderson, NV 89074-8195
Phone (702) 878-0393

Other identifiers 1

IdentifierTypeStateIssuer
100505991MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000283 NV Part B Supplier - Clinic/Group Practice 4284622895 Receives reassigned benefits from 27 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1505 Wigwam Pkwy
Ste 161
Henderson, NV 89074

1505 Wigwam Pkwy
Ste 330
Henderson, NV 89074
Phone (702) 878-0393

7455 W Washington Ave
Ste 160
Las Vegas, NV 89128
Phone (702) 878-0393

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1437158771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-878-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-878-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Wigwam Pkwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890748195",
            "country_code": "US",
            "telephone_number": "702-878-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEVADA ORTHOPEDIC & SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "LAPOLLA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL STAFF CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-258-5521"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "C14-00279-3-092590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505991",
            "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 Jan 9, 2019; 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.