Westcliff Medical and Dental Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5895 Issued in NV

Legal business name

WESTCLIFF MEDICAL AND DENTAL CENTER

Practice address

3150 N Tenaya Way
690
Las Vegas, NV 89128-0443

Phone

(702) 363-0232

Fax

(702) 233-3055

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kwang Chul Shin, MDNPI 1871547968

Title

MD

Phone

(702) 363-0232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kwang Chul Shin, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1871547968
  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679617914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "690",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-363-0232",
            "fax_number": "702-233-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "690",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-363-0232",
            "fax_number": "702-233-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCLIFF MEDICAL AND DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "CHUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-363-0232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westcare Nevada Inc
• Westcare Nevada Inc
• Westcare Nevada Inc
• Westcare Nevada Inc
• Westcare Nevada, Inc
• Cynthia Westcott
• Alex Westerman
• Western Critical Care Associates
• Western Desert Transportation LLC
• Western Home Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.