Nevada Peripheral Nerve Institute

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEVADA PERIPHERAL NERVE INSTITUTE

Practice address

3802 Meadows LN
Las Vegas, NV 89107-3123

Phone

(702) 606-4246

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Chip Wallace

Title

Manager

Phone

(702) 606-4246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1700071404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S MARYLAND PKWY # 157",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098300",
            "telephone_number": "702-606-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073123",
            "telephone_number": "702-606-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PERIPHERAL NERVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-606-4246"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Pain Management PLLC
• Nevada Pain PLLC
• Nevada Partnership for Homeless Youth
• Nevada Pca, LLC.
• Nevada Pediatric Therapy LLC
• Nevada Personal Care Services Inc
• Nevada Personal Care Services Inc
• Nevada Personal Care Services Inc
• Nevada Personal Care Services Inc
• Nevada Physician Specialists Toy

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.