Active NPI
Holistic Health Center of Reno
- Pain Medicine Physician
- Reno, NV
National Provider Identifier
1619348422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- DO1419
- Legal business name
- HOLISTIC HEALTH CENTER OF RENO
- Practice address
- 890 Mill St
200
Reno, NV 89502-1442 - Phone
- (775) 686-6336
- Fax
- (775) 686-6327
- NPI assigned
- Oct 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William W Clark, DO
- Title
- Medical Director
- Phone
- (775) 870-1545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | DO1419 | NV | Primary |
Addresses
Primary practice location
890 Mill St
200
Reno, NV 89502-1442
Mailing address
890 Mill St
200
Reno, NV 89502-1442
Phone (775) 686-6336
National Provider Directory
National Provider DirectoryLocations
1135 Terminal Way
Ste 106
Reno, NV 89502
Phone (775) 870-1545
890 Mill St
Ste 100
Reno, NV 89502
Phone (702) 358-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608076800000",
"number": "1619348422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 MILL ST",
"address_2": "200",
"city": "RENO",
"state": "NV",
"postal_code": "895021442",
"telephone_number": "775-686-6336",
"fax_number": "775-686-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 MILL ST",
"address_2": "200",
"city": "RENO",
"state": "NV",
"postal_code": "895021442",
"telephone_number": "775-686-6336",
"fax_number": "775-686-6327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HEALTH CENTER OF RENO",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-19",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "775-870-1545",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NV",
"license": "DO1419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.