Organization Active NPI

Howard M Hack MD-Nevada PC

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1619292224
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12717 Issued in NV
Legal business name
HOWARD M HACK MD-NEVADA PC
Practice address
8413 W Lake Mead Blvd
Las Vegas, NV 89128-7638
Phone
(702) 247-6401
Fax
(702) 247-6402
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Howard M Hack, M.D.
Title
President
Phone
(414) 975-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12717 NV Primary

Addresses

Primary practice location

8413 W Lake Mead Blvd
Las Vegas, NV 89128-7638

Mailing address

8413 W Lake Mead Blvd
Las Vegas, NV 89128-7638
Phone (702) 247-6401

National Provider Directory

National Provider Directory

Locations

6725 S Eastern Ave
Ste 6
Las Vegas, NV 89119
Phone (702) 474-0200

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1619292224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287638",
            "telephone_number": "702-247-6401",
            "fax_number": "702-247-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8413 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287638",
            "telephone_number": "702-247-6401",
            "fax_number": "702-247-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD M HACK MD-NEVADA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-975-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "12717",
            "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 Jun 2, 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.