NPIMap

Organization Active NPI

Horizon Ridge Wellness

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1710496617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HORIZON RIDGE WELLNESS
Practice address
3160 W Sahara Ave Ste A11
Las Vegas, NV 89102-3215
Phone
(702) 489-2889
Fax
(702) 489-8264
NPI assigned
Sep 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bruce EddinsNPI 1841347275
Title
Chief Administrator
Phone
(702) 489-3201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X
Clinical Social Worker 1041C0700X
Obstetrics & Gynecology Physician 207V00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

3160 W Sahara Ave Ste A11
Las Vegas, NV 89102-3215

Mailing address

3160 W Sahara Ave
Suite A11
Las Vegas, NV 89102-6002
Phone (702) 489-2889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710496617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 W SAHARA AVE",
            "address_2": "SUITE A11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026002",
            "telephone_number": "702-489-2889",
            "fax_number": "702-489-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 W SAHARA AVE STE A11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023215",
            "telephone_number": "702-489-2889",
            "fax_number": "702-489-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON RIDGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "702-489-3201"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 21, 2022; 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.