Active NPI
Travis Neu
- Dentist
- North Las Vegas, NV
National Provider Identifier
1467801183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6750
- Practice address
- 2301 E Lake Mead Blvd
North Las Vegas, NV 89030-7137 - Phone
- (702) 331-8338
- NPI assigned
- Jun 3, 2016
- Last updated
- Jan 16, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6750 | NV | Primary |
Addresses
Primary practice location
2301 E Lake Mead Blvd
North Las Vegas, NV 89030-7137
Mailing address
2250 S Rancho Dr
Suite 205
Las Vegas, NV 89102-4451
Phone (702) 291-2031
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Orthodontics and Pediatric Dentistry | Current | Accepting new patients | |
| Southern Nevada Specialty Prada, PLLC | Past | Accepting new patients | |
| New Mexico Dentistry Prada, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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 Nevada Pedo
- Pediatric Dentistry
- Las Vegas, NV
- NPI 1952183329
-
dba Absolute Dental & Orthodontics
- Pediatric Dentistry
- Las Vegas, NV
- NPI 1275998270
-
- Dentist
- Albuquerque, NM
- NPI 1376215731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1467801183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 S RANCHO DR",
"address_2": "SUITE 205",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891024451",
"telephone_number": "702-291-2031",
"fax_number": "702-984-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307137",
"telephone_number": "702-331-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "TRAVIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-03",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North 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 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.