NPIMap

Individual provider Active NPI

Warren L Smith, MD

  • Family Medicine Physician
  • Boulder City, NV
National Provider Identifier
1679572853
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NV3978 Issued in NV
Practice address
895 Adams Blvd
Boulder City, NV 89005-2235
Phone
(702) 293-0406
Fax
(702) 293-0192
NPI assigned
Jul 19, 2005
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NV3978 NV Primary

Addresses

Primary practice location

895 Adams Blvd
Boulder City, NV 89005-2235

Mailing address

895 Adams Blvd
Boulder City, NV 89005-2235
Phone (702) 293-0406

Other identifiers 1

IdentifierTypeStateIssuer
0020-02614MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000049 NV Practitioner - General Practice 5991751976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Arizona College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians
Warren L Smith LTDGroup PAC ID 6800842980, 4 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

895 Adams Blvd
Boulder City, NV 89005-2235
Phone (702) 293-0406

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue15
Removal of skin lesions167
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NV3978NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herve Bezard MD LTD Family Medicine Current Accepting new patients
Jim C Chiang MD LTD Family Medicine Current Accepting new patients
Warren L Smith LTD Family Medicine CurrentSince Jun 1, 1980 Accepting new patients
Sally Nahhas DO LTD Family Medicine Current Accepting new patients
Dignity Health Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients

Locations

895 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-0406

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1679572853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052235",
            "telephone_number": "702-293-0406",
            "fax_number": "702-293-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052235",
            "telephone_number": "702-293-0406",
            "fax_number": "702-293-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WARREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "NV3978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020-02614",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.