Louie Taquiqui

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV2017143936 Issued in NV

Practice address

3566 Tundra Swan St
Las Vegas, NE 89122

Phone

(702) 806-5198

NPI assigned

Aug 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevated Brain Techs, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1801308655
  NPD (past) Authorized official

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508381435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 TUNDRA SWAN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223501",
            "telephone_number": "702-806-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 TUNDRA SWAN ST",
            "city": "LAS VEGAS",
            "state": "NE",
            "postal_code": "89122",
            "telephone_number": "702-806-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAQUIQUI",
        "first_name": "LOUIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV2017143936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond August Tozzi, DDS
• Yee Tsang
• Vanlue Orthodontics, PC

• Community/Behavioral Health Agency in Las Vegas, NE
• Providers in Las Vegas, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.