Smith Plastic Surgery Building

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SMITH PLASTIC SURGERY BUILDING

Practice address

7650 W Sahara Ave
Las Vegas, NV 89117
SJ

Phone

(702) 371-6921

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Mario Moya

Title

Ceo

Phone

(725) 502-1061

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lane Fielding Smith, M.D.

  • Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1982779526
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1548047780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172750"
        },
        {
            "country_code": "SJ",
            "country_name": "Svalbard and Jan Mayen",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "7650 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-371-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PLASTIC SURGERY BUILDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-502-1061"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.