Organization Active NPI

Homayon Iraninezhad DO PC

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1649729161
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO1453 Issued in NV
Legal business name
HOMAYON IRANINEZHAD DO PC
Practice address
201 N Buffalo Dr
Las Vegas, NV 89145-0373
Phone
(702) 623-3454
Fax
(702) 666-0374
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Xeneteia Aquino
Title
Credentialing Specialist
Phone
(702) 818-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X DO1453 NV Primary

Addresses

Primary practice location

201 N Buffalo Dr
Las Vegas, NV 89145-0373

Mailing address

PO Box 371086
Las Vegas, NV 89137-1086
Phone (702) 623-6454

National Provider Directory

National Provider Directory

Locations

7250 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 304-3985

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1649729161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371086",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371086",
            "telephone_number": "702-623-6454",
            "fax_number": "702-666-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450373",
            "telephone_number": "702-623-3454",
            "fax_number": "702-666-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAYON IRANINEZHAD DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "XENETEIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-818-9397"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "DO1453",
            "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 Nov 2, 2016; 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.