Jonathan C Reboton MD LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7569 Issued in NV

Legal business name

JONATHAN C REBOTON MD LTD

Practice address

1905 McDaniel St
Suite 101
North Las Vegas, NV 89030-7169

Phone

(702) 307-8618

Fax

(702) 307-6819

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan C Reboton, MD

Title

President

Phone

(702) 307-8618

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1639210974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL ST",
            "address_2": "SUITE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307169",
            "telephone_number": "702-307-8618",
            "fax_number": "702-307-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL ST",
            "address_2": "SUITE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307169",
            "telephone_number": "702-307-8618",
            "fax_number": "702-307-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C REBOTON MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "REBOTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-307-8618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018170",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelseigh Joice
• Sylvia Desiree Joiner - Greene
• Raenaa D Jojola
• Kara M Jolley, MPT
• Leshun Darrell Jolly
• Stephanie Jones-Powell, LMT
• Bronetta Jones-Young
• Aleta R. Jones
• Azaria Lyne'T Jones
• Azavant Jones

• Family Medicine Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.