Organization Active NPI

Josh D Dwire PSYD PLLC

  • Psychologist
  • North Las Vegas, NV
National Provider Identifier
1538513569
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0737 Issued in NV
Legal business name
JOSH D DWIRE PSYD PLLC
Practice address
720 W Cheyenne Ave
Ste 50
North Las Vegas, NV 89030-7807
Phone
(702) 831-0788
Fax
(702) 463-9087
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Joshua D Dwire, PSYDNPI 1598036493
Title
Licensed Psychologist
Phone
(702) 831-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0737 NV Primary

Addresses

Primary practice location

720 W Cheyenne Ave
Ste 50
North Las Vegas, NV 89030-7807

Mailing address

5546 Camino Al Norte Ste 2-298
North Las Vegas, NV 89031-0805
Phone (702) 831-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160429001397 NV Part B Supplier - Clinic/Group Practice 6800195546 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5546 Camino Al Norte
Ste 2298
North Las Vegas, NV 89031

720 W Cheyenne Ave
Ste 50
North Las Vegas, NV 89030
Phone (702) 831-0788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1538513569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 CAMINO AL NORTE STE 2-298",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310805",
            "telephone_number": "702-831-0788",
            "fax_number": "702-463-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CHEYENNE AVE",
            "address_2": "STE 50",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307807",
            "telephone_number": "702-831-0788",
            "fax_number": "702-463-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH D DWIRE PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DWIRE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-831-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "0737",
            "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 Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.