Active NPI
Las Vegas Diagnostic & Treatment LLC
- Neuromusculoskeletal Medicine & OMM Physician
- Las Vegas, NV
National Provider Identifier
1437798931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- LAS VEGAS DIAGNOSTIC & TREATMENT LLC
- Practice address
- DPM
5650 W Flamingo Rd Ste a
Las Vegas, NV 89103 - Phone
- (702) 365-1987
- Fax
- (702) 871-4729
- NPI assigned
- Dec 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Matthew Dimuro, DO
- Title
- President
- Phone
- (775) 842-5742
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | Primary |
Addresses
Primary practice location
DPM
5650 W Flamingo Rd Ste a
Las Vegas, NV 89103
Mailing address
4158 Kerberos Ave
N Las Vegas, NV 89084-4717
Phone (775) 842-5742
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- Pahrump, NV
- NPI 1871574194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577750400000",
"number": "1437798931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 KERBEROS AVE",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890844717",
"telephone_number": "775-842-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DPM",
"address_2": "5650 W FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89103",
"telephone_number": "702-365-1987",
"fax_number": "702-871-4729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS VEGAS DIAGNOSTIC & TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-31",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A",
"authorized_official_last_name": "DIMURO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-842-5742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Las Vegas Comprehensive Pain Management PC
- Las Vegas Concierge Orthopedics PLLC
- Las Vegas Counselng Center
- Las Vegas Dental Center PLLC
- Las Vegas Dermatology PC (H.L.Greenberg M.D., LTD.)
- Las Vegas DME LLC
- Las Vegas East Ophthalmology ASC LLC (Shepherd Eye Surgicenter)
- Las Vegas Family Clinic
- Las Vegas Family Eye Care, Todd C. Angell, O.D. LTD (Las Vegas Family Eye Care)
- Las Vegas Family Home Care LLC (HCBS Waiver for Persons With Frail Elderly)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.