NPIMap

Organization Active NPI

Crossroads Saint LLC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1659834075
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CROSSROADS SAINT LLC
Practice address
1120 Shadow LN Ste 120
Las Vegas, NV 89102-2342
Phone
(702) 382-7746
Fax
(702) 508-0757
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Jennifer Morss
Title
Chief Operating Officer
Phone
(702) 382-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1120 Shadow LN Ste 120
Las Vegas, NV 89102-2342

Mailing address

1120 Shadow LN Ste 120
Las Vegas, NV 89102-2342
Phone (702) 382-7746

National Provider Directory

National Provider Directory

Locations

1120 Shadow Ln
Ste 120
Las Vegas, NV 89102
Phone (702) 382-7746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1659834075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SHADOW LN STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022342",
            "telephone_number": "702-382-7746",
            "fax_number": "702-508-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SHADOW LN STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022342",
            "telephone_number": "702-382-7746",
            "fax_number": "702-508-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SAINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "MORSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "702-382-7746"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Apr 11, 2019; 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.