NPIMap

Organization Active NPI

Dynasty Surgical Partners I, LLC

  • Surgical Assistant
  • Las Vegas, NV
National Provider Identifier
1669062139
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
DYNASTY SURGICAL PARTNERS I, LLC
Practice address
6671 Las Vegas Blvd S Unit D-210
Las Vegas, NV 89119-3273
Phone
(702) 800-6451
NPI assigned
Jan 19, 2021
Organization subpart
Yes
Parent organization
DYNASTY SURGICAL SYSTEMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mr. Isaac Raphael Rhino, CSFANPI 1750853495
Title
Certified Surgical First Assistant
Phone
(702) 290-6260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

6671 Las Vegas Blvd S Unit D-210
Las Vegas, NV 89119-3273

Mailing address

6671 Las Vegas Blvd S Unit D-210
Las Vegas, NV 89119-3273
Phone (702) 800-6451

National Provider Directory

National Provider Directory
Part of
Dynasty Surgical Systems LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1669062139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT D-210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "702-800-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT D-210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "702-800-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY SURGICAL PARTNERS I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNASTY SURGICAL SYSTEMS, LLC",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "RHINO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "702-290-6260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "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 Feb 4, 2021; 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.