Organization Active NPI

Laser Foot Surgery Centers, LLC

  • Medical Specialty Clinic/Center
  • Henderson, NV
National Provider Identifier
1710528047
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LASER FOOT SURGERY CENTERS, LLC
Practice address
880 Seven Hills Dr Ste 150
Henderson, NV 89052-4380
Phone
(833) 693-3381
Fax
(702) 852-0429
NPI assigned
Oct 8, 2019
Last updated
Jun 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Krystal Benson
Title
Billing/Credentialing Manager
Phone
(702) 600-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

880 Seven Hills Dr Ste 150
Henderson, NV 89052-4380

Mailing address

9107 Wilshire Blvd Ste 450
Beverly Hills, CA 90210-5535
Phone (323) 440-4299

National Provider Directory

National Provider Directory

Locations

5455 Wilshire Blvd
Fl 21
Los Angeles, CA 90036

880 Seven Hills Dr
Ste 150
Henderson, NV 89052
Phone (833) 693-3381

Practitioners & affiliated clinicians

Practitioners 3

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": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1710528047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD STE 450",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105535",
            "telephone_number": "323-440-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "833-693-3381",
            "fax_number": "702-852-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER FOOT SURGERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-600-7977"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

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