NPIMap

Organization Active NPI

A Las Vegas Pediatrics

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1740608108
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
A LAS VEGAS PEDIATRICS
Practice address
5876 S Pecos Rd BLDG B
Las Vegas, NV 89120-3418
Phone
(702) 733-0744
Fax
(702) 796-8262
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mr. John Richards
Title
Business Consultant
Phone
(702) 733-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5876 S Pecos Rd BLDG B
Las Vegas, NV 89120-3418

Mailing address

5876 S Pecos Rd BLDG B
Las Vegas, NV 89120-3418
Phone (702) 733-0744

Other names 1

  • A las Vegas Family Practice Other name

National Provider Directory

National Provider Directory
Tax ID family
A Las Vegas Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5876 S Pecos Rd
Bldg B
Las Vegas, NV 89120
Phone (702) 733-0744

Practitioners & affiliated clinicians

Practitioners 7

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": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1740608108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD BLDG B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-733-0744",
            "fax_number": "702-796-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD BLDG B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-733-0744",
            "fax_number": "702-796-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LAS VEGAS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "702-733-0744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A las Vegas Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 2, 2014; 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.