Organization Active NPI

Roger B Reed DPM PC

Doing business as Henderson Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1538112107
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ROGER B REED DPM PC
Doing business as
Henderson Foot Care
Practice address
2649 W Horizon Ridge Pkwy
#100
Henderson, NV 89052-4801
Phone
(702) 565-6641
Fax
(702) 565-9249
NPI assigned
May 18, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Roger B Reed, DPMNPI 1548252224
Title
Corporation Partner
Phone
(702) 719-1349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 37387 NV
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2649 W Horizon Ridge Pkwy
#100
Henderson, NV 89052-4801

Mailing address

129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055
Phone (702) 719-1349

Other names 1

  • Henderson Foot Care Doing business as

National Provider Directory

National Provider Directory

Locations

129 W Lake Mead Pkwy
#B18
Henderson, NV 89015
Phone (702) 564-4440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1538112107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "#B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-719-1349",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 W HORIZON RIDGE PKWY",
            "address_2": "#100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524801",
            "telephone_number": "702-565-6641",
            "fax_number": "702-565-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER B REED DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CORPORATION PARTNER",
        "authorized_official_telephone_number": "702-719-1349",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "37387",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.