Individual provider Active NPI

Matthew Mentzer, RRT, AE-C

  • Educational Registered Respiratory Therapist
  • Las Vegas, NV
National Provider Identifier
1598040925
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Educational Registered Respiratory TherapistTaxonomy code 2279E1000X
License
RC1971 Issued in NV
Practice address
8170 W Sahara Ave Ste 106
Las Vegas, NV 89117-1981
Phone
(702) 612-2223
NPI assigned
Oct 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Educational Registered Respiratory Therapist 2279E1000X RC1971 NV Primary

Addresses

Primary practice location

8170 W Sahara Ave Ste 106
Las Vegas, NV 89117-1981

Mailing address

3 Pinyon Tree Cir
Henderson, NV 89074-1518
Phone (702) 612-2223

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

LicenseStateTypeSpecialty
RC1971NVMDEducational Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Industry Services Inc. Educational Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1598040925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINYON TREE CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741518",
            "telephone_number": "702-612-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 W SAHARA AVE STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171981",
            "telephone_number": "702-612-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "MATTHEW",
        "credential": "RRT, AE-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "NV",
            "license": "RC1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2011; 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.