NPIMap

Organization Active NPI

William Neal Evans, MD, LTD

Doing business as Children's Heart Center Nevada

  • Pediatric Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1720110190
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
WILLIAM NEAL EVANS, MD, LTD
Doing business as
Children's Heart Center Nevada
Practice address
653 N Town Center Dr Ste 114
Las Vegas, NV 89144-0515
Phone
(702) 732-1290
Fax
(702) 732-1385
NPI assigned
Mar 12, 2007
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Leslie Johnson
Title
Credentialing Manager
Phone
(702) 990-4821

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Counselor 101Y00000X NU
Registered Dietitian 133V00000X NU
Pediatric Cardiology Physician 2080P0202X NU Primary
Genetic Counselor (M.S.) 170300000X NU

Addresses

Primary practice location

653 N Town Center Dr Ste 114
Las Vegas, NV 89144-0515

Mailing address

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other identifiers 2

IdentifierTypeStateIssuer
XGG007170OtherMEDI-CAL
100500157MedicaidNV

Other names 1

  • Children's Heart Center Nevada Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000808 NV Part B Supplier - Clinic/Group Practice 7012804263 Receives reassigned benefits from 19 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; Las Vegas, NV; Carson City, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1047566Children's Heart Center653 Town Center Dr Ste 114, Las Vegas, NV 89144Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

10001 S Eastern Ave
Ste 300
Henderson, NV 89052
Phone (702) 260-1019

653 N Town Center Dr
Ste 310
Las Vegas, NV 89144
Phone (702) 228-1003

1500 E 2nd St
Ste 407
Reno, NV 89502
Phone (775) 324-6644

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1720110190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM NEAL EVANS, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-990-4821"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XGG007170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500157",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Heart Center Nevada",
            "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 May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.