NPIMap

Organization Active NPI

Robert Odell M.D., PH.D. Medical Enterprises

  • Other Technician
  • Las Vegas, NV
National Provider Identifier
1710230909
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
479 Issued in NV
Legal business name
ROBERT ODELL M.D., PH.D. MEDICAL ENTERPRISES
Practice address
8084 W Sahara Ave
Suite E
Las Vegas, NV 89117-2073
Phone
(702) 257-7246
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Robert H Odell Jr., M.D.
Title
Owner
Phone
(702) 257-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X 479 NV Primary

Addresses

Primary practice location

8084 W Sahara Ave
Suite E
Las Vegas, NV 89117-2073

Mailing address

8084 W Sahara Ave
Suite E
Las Vegas, NV 89117-2073

Other identifiers 1

IdentifierTypeStateIssuer
1021279OtherNVSTATE LICENSE

Other names 1

  • New Vision Neuropathy and Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

8084 W Sahara Ave
Ste E
Las Vegas, NV 89117
Phone (702) 247-7246

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1710230909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172073",
            "telephone_number": "702-257-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ODELL M.D., PH.D. MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-257-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "NV",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1021279",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Neuropathy and Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 25, 2012; 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.