Active NPI
Restorix
- Adult Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1689471567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- RESTORIX
- Practice address
- 8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429 - Phone
- (702) 523-6615
- NPI assigned
- Feb 27, 2025
- Last updated
- May 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Lacy, NP
- Title
- President
- Phone
- (210) 724-8656
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429
Mailing address
8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429
Phone (702) 523-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Gerontology Nurse Practitioner
- Las Vegas, NV
- NPI 1700302791
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1588119358
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1154787497
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1033576814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747008000000",
"number": "1689471567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8905 W POST RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482429",
"telephone_number": "702-523-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8905 W POST RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482429",
"telephone_number": "702-523-6615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORIX",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A",
"authorized_official_last_name": "LACY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-724-8656",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.