NPIMap

Organization Active NPI

Lasr Clinic of Henderson

  • General Practice Physician
  • Henderson, NV
National Provider Identifier
1760837322
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LASR CLINIC OF HENDERSON
Practice address
200 E Horizon Dr
Suite a
Henderson, NV 89015-8033
Phone
(702) 568-8450
Fax
(702) 568-8451
NPI assigned
May 2, 2016
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Israel VillasenorNPI 1073631693
Title
Practice Manager
Phone
(702) 568-8450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

200 E Horizon Dr
Suite a
Henderson, NV 89015-8033

Mailing address

7151 Cascade Valley CT
Suite 200
Las Vegas, NV 89128-0496
Phone (702) 568-8450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1760837322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 CASCADE VALLEY CT",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280496",
            "telephone_number": "702-568-8450",
            "fax_number": "702-568-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HORIZON DR",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158033",
            "telephone_number": "702-568-8450",
            "fax_number": "702-568-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASR CLINIC OF HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-568-8450"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.