NPIMap

Organization Active NPI

Rd Prabhu-Lata K Shete MDS LTD

Doing business as The Sleep Center of Nevada

  • Sleep Disorder Diagnostic Clinic/Center
  • N Las Vegas, NV
National Provider Identifier
1548815616
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
RD PRABHU-LATA K SHETE MDS LTD
Doing business as
The Sleep Center of Nevada
The Sleep Centers of Nevada
Practice address
1905 Civic Center Drive
Ste 201
N. Las Vegas, NV 89030
Phone
(702) 649-3736
Fax
(702) 649-3709
NPI assigned
Aug 6, 2019
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Kelly Jo Block
Title
Credentialing Agent
Phone
(702) 318-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1905 Civic Center Drive
Ste 201
N. Las Vegas, NV 89030

Mailing address

5701 W. Charleston Blvd
Ste. 100
Las Vegas, NV 89146
Phone (702) 877-9514

Other names 2

  • The Sleep Center of Nevada Doing business as
  • The Sleep Centers of Nevada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210001032 NV Part B Supplier - Clinic/Group Practice 8820994791 Receives reassigned benefits from 27 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NV; Pahrump, NV; North Las Vegas, NV; Las Vegas, NV

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Sleep Center of Nevada7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1905 Civic Center Dr
Ste 101
North Las Vegas, NV 89030
Phone (702) 649-3739

Practitioners & affiliated clinicians

Practitioners 10

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": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1548815616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W. CHARLESTON BLVD",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-9514",
            "fax_number": "702-312-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CIVIC CENTER DRIVE",
            "address_2": "STE 201",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-649-3736",
            "fax_number": "702-649-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD PRABHU-LATA K SHETE MDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "702-318-9072"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sleep Center of Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Sleep Center of Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Sleep Centers of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.