Organization Active NPI

Dynamic Family Therapies

  • Developmentally Disabled Services Day Training Agency
  • Las Vegas, NV
National Provider Identifier
1477928356
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DYNAMIC FAMILY THERAPIES
Practice address
2110 E Flamingo Rd Ste 317
Las Vegas, NV 89119-5193
Phone
(702) 410-8400
Fax
(702) 410-8401
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Leonard Croom
Title
Manager of Operations
Phone
(702) 410-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2110 E Flamingo Rd Ste 317
Las Vegas, NV 89119-5193

Mailing address

2110 E Flamingo Rd Ste 317
Las Vegas, NV 89119-5193
Phone (702) 410-8400

National Provider Directory

National Provider Directory

Locations

2110 E Flamingo Rd
Ste 317
Las Vegas, NV 89119
Phone (702) 308-5114

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1477928356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 317",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195193",
            "telephone_number": "702-410-8400",
            "fax_number": "702-410-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 317",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195193",
            "telephone_number": "702-410-8400",
            "fax_number": "702-410-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FAMILY THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "702-410-8400"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.