Individual provider Active NPI

Sharon Roth, OMD, LAC

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1518003268
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
100 Issued in NV
Practice address
101 S Rainbow Blvd Ste 22
Las Vegas, NV 89145-5371
Phone
(702) 259-6996
Fax
(702) 259-6995
NPI assigned
Jan 29, 2007
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 100 NV Primary
Physical Therapist 225100000X 100 NV

Addresses

Primary practice location

101 S Rainbow Blvd Ste 22
Las Vegas, NV 89145-5371

Mailing address

8424 Dry Cliff Cir
Las Vegas, NV 89128-7155
Phone (702) 259-6996

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

State licenses

LicenseStateTypeSpecialty
100NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1518003268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 DRY CLIFF CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287155",
            "telephone_number": "702-259-6996",
            "fax_number": "702-259-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAINBOW BLVD STE 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455371",
            "telephone_number": "702-259-6996",
            "fax_number": "702-259-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "OMD, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "100",
            "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 Aug 24, 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.