NPIMap

Organization Active NPI

Las Vegas Dermatology PC

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1730375262
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LAS VEGAS DERMATOLOGY PC
Practice address
653 N. Town Center Drive
Ste #410
Las Vegas, NV 89144
Phone
(702) 456-3120
Fax
(702) 823-1069
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Mrs. Leslie Ann McSharry
Title
Office Manager
Phone
(702) 456-3120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
Medical Specialty Clinic/Center 261QM2500X E0492222006-0 NV

Addresses

Primary practice location

653 N. Town Center Drive
Ste #410
Las Vegas, NV 89144

Mailing address

653 N Town Center Dr Ste 414
Las Vegas, NV 89144-0518
Phone (702) 456-3120

Other names 1

  • H.L.Greenberg M.D., LTD. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071004000467 NV Part B Supplier - Clinic/Group Practice 6103911292 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV
O20210831002448 NV Part B Supplier - Clinic/Group Practice 6204232275 Receives reassigned benefits from 8 practitioners
Practice locations: Las Vegas, NV

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
29D2048835Las Vegas Dermatology PC653 N Town Center Dr Ste 414, Las Vegas, NV 89144ComplianceJun 10, 2028

National Provider Directory

National Provider Directory

Locations

653 N Town Center Dr
Ste 4
Las Vegas, NV 89144
Phone (702) 728-5686

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1730375262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 414",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440518",
            "telephone_number": "702-456-3120",
            "fax_number": "702-823-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N. TOWN CENTER DRIVE",
            "address_2": "STE #410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89144",
            "telephone_number": "702-456-3120",
            "fax_number": "702-823-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "MCSHARRY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-456-3120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NV",
            "license": "E0492222006-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.L.Greenberg M.D., LTD.",
            "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 Jan 21, 2022; 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.