Organization Active NPI

Skin Check Summerlin LLC

  • Medical Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1598892432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SKIN CHECK SUMMERLIN LLC
Practice address
9416 Del Webb Blvd
Las Vegas, NV 89134-8314
Phone
(702) 234-2311
Fax
(702) 579-3909
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Chris Roussel
Title
Billing Department
Phone
(702) 234-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9416 Del Webb Blvd
Las Vegas, NV 89134-8314

Mailing address

6425 Westwind Rd
Las Vegas, NV 89118-3442
Phone (702) 234-2311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598892432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 WESTWIND RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183442",
            "telephone_number": "702-234-2311",
            "fax_number": "702-579-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348314",
            "telephone_number": "702-234-2311",
            "fax_number": "702-579-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CHECK SUMMERLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "702-234-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Aug 22, 2020; 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.