Active NPI
Lucyne Martirosyan
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1538631957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- G6508733
- Practice address
- 7450 W Cheyenne Ave Ste 104B
Las Vegas, NV 89129-7409 - Phone
- (702) 778-2090
- Fax
- (702) 823-2448
- NPI assigned
- Dec 24, 2018
- Last updated
- Dec 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | G6508733 | NV | Primary |
Addresses
Primary practice location
7450 W Cheyenne Ave Ste 104B
Las Vegas, NV 89129-7409
Mailing address
7450 W Cheyenne Ave Ste 104B
Las Vegas, NV 89129-7409
Phone (702) 778-2090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G6508733 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G6508733 | NV | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545609600000",
"number": "1538631957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 W CHEYENNE AVE STE 104B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297409",
"telephone_number": "702-778-2090",
"fax_number": "702-823-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 W CHEYENNE AVE STE 104B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297409",
"telephone_number": "702-778-2090",
"fax_number": "702-823-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIROSYAN",
"first_name": "LUCYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-24",
"last_updated": "2018-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "G6508733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G6508733",
"state": "NV"
}
],
"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 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.