NPIMap

Organization Active NPI

Desert Pulmonary Rehabilitation and Diagnostics LLC

  • Certified Respiratory Therapist
  • Las Vegas, NV
National Provider Identifier
1447650486
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
RC346 Issued in NV
Legal business name
DESERT PULMONARY REHABILITATION AND DIAGNOSTICS LLC
Practice address
2980 S Jones Blvd Ste C
Las Vegas, NV 89146-5657
Phone
(702) 487-5511
Fax
(702) 487-5211
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
John Thao, BA, RRT, RRT-SDSNPI 1275944027
Title
Managing Director
Phone
(702) 487-5511

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227800000X RC346 NV Primary
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X RC1453 NV

Addresses

Primary practice location

2980 S Jones Blvd Ste C
Las Vegas, NV 89146-5657

Mailing address

2980 S Jones Blvd Ste C
Las Vegas, NV 89146-5657
Phone (702) 487-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190813000750 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7012136211 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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1447650486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 S JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465657",
            "telephone_number": "702-487-5511",
            "fax_number": "702-487-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465657",
            "telephone_number": "702-487-5511",
            "fax_number": "702-487-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PULMONARY REHABILITATION AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "702-487-5511",
        "authorized_official_credential": "BA, RRT, RRT-SDS"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "NV",
            "license": "RC346",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "NV",
            "license": "RC1453",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2020; 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.