Organization Active NPI

Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1598087223
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DESERT ORTHOPAEDIC CENTER, LTD.
Practice address
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone
(702) 731-1616
Fax
(702) 263-9088
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Michael Francis Pendleton
Title
Administrator
Phone
(702) 697-7236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609

Mailing address

2930 W Horizon Ridge Pkwy
Suite #100
Henderson, NV 89052-5058
Phone (702) 263-9082

National Provider Directory

National Provider Directory
Tax ID family
Desert Orthopaedic Clin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082

2930 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 263-9082

Practitioners & affiliated clinicians

Practitioners 5

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1598087223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525058",
            "telephone_number": "702-263-9082",
            "fax_number": "702-263-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213609",
            "telephone_number": "702-731-1616",
            "fax_number": "702-263-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ORTHOPAEDIC CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-697-7236"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "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 Dec 18, 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.