Organization Active NPI

Valley Pain & Wellness LLC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1720957111
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
VALLEY PAIN & WELLNESS LLC
Practice address
2121 E Flamingo Rd Ste 208
Las Vegas, NV 89119-5124
Phone
(702) 430-1112
Fax
(702) 268-8950
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Mr. Ronald Lee Moore
Title
Manager
Phone
(702) 430-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2121 E Flamingo Rd Ste 208
Las Vegas, NV 89119-5124

Mailing address

2121 E Flamingo Rd Ste 208
Las Vegas, NV 89119-5124
Phone (725) 326-0451

National Provider Directory

National Provider Directory

Locations

2121 E Flamingo Rd
Ste 208
Las Vegas, NV 89119
Phone (702) 381-0962

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1720957111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "725-326-0451",
            "fax_number": "702-268-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "702-430-1112",
            "fax_number": "702-268-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PAIN & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-430-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 3, 2025; 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.