Active NPI
Ryan Nishihara, M.D.
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1760561609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9246
- Practice address
- 9030 West Cheyenne Avenue
Suite 120
Las Vegas, NV 89129 - Phone
- (702) 436-7337
- Fax
- (702) 735-7337
- NPI assigned
- Nov 2, 2006
- Last updated
- Jan 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9246 | NV | Primary |
Addresses
Primary practice location
9030 West Cheyenne Avenue
Suite 120
Las Vegas, NV 89129
Mailing address
9030 West Cheyenne Avenue
Suite 120
Las Vegas, NV 89129
Phone (702) 436-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9246 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center of Southern Nevada | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1760561609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 WEST CHEYENNE AVENUE",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-436-7337",
"fax_number": "702-735-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 WEST CHEYENNE AVENUE",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-436-7337",
"fax_number": "702-735-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIHARA",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9246",
"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 Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.