Organization Active NPI

Holistic Health Center of Reno

  • Pain Medicine Physician
  • Reno, NV
National Provider Identifier
1619348422
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
DO1419 Issued in NV
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

Updated by the provider on Dec 16, 2020

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.