Active NPI
Halthore Johns Pediatric Neurology
- Specialist
- Las Vegas, NV
National Provider Identifier
1750586038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- HALTHORE JOHNS PEDIATRIC NEUROLOGY
- Practice address
- 2020 E Desert Inn Rd
Las Vegas, NV 89169-3211 - Phone
- (702) 796-5505
- Fax
- (702) 732-9830
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Srinivas Halthore, M.D.
- Title
- Partner
- Phone
- (702) 796-5505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2020 E Desert Inn Rd
Las Vegas, NV 89169-3211
Mailing address
2020 E Desert Inn Rd
Las Vegas, NV 89169-3211
Phone (702) 796-5505
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730119413 | Other | NV | INDIVIDUAL NPI (HALTHORE) |
| 1326078098 | Other | NV | INDIVIDUAL NPI (MALLER) |
| 1780615013 | Other | NV | INDIVIDUAL NPI (JOHNS) |
Other names 1
- Neurology Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293494400000",
"number": "1750586038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693211",
"telephone_number": "702-796-5505",
"fax_number": "702-732-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693211",
"telephone_number": "702-796-5505",
"fax_number": "702-732-9830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALTHORE JOHNS PEDIATRIC NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2010-12-28",
"status": "A",
"authorized_official_last_name": "HALTHORE",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "702-796-5505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI (HALTHORE)",
"identifier": "1730119413",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI (MALLER)",
"identifier": "1326078098",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI (JOHNS)",
"identifier": "1780615013",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurology Specialists",
"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 Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.