Organization Active NPI

Las Vegas Neurosurgery & Spine Care LLC

  • Neurological Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1770665002
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
6355 Issued in NV
Legal business name
LAS VEGAS NEUROSURGERY & SPINE CARE LLC
Practice address
8285 W Arby Ave Ste 220
Las Vegas, NV 89113-2236
Phone
(702) 737-7753
Fax
(702) 407-7066
NPI assigned
Oct 19, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Dawn Marie Brown
Title
Office Manager
Phone
(702) 737-7753

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 7950 NV
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 10718 NV
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 6485 NV
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 6355 NV Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X

Addresses

Primary practice location

8285 W Arby Ave Ste 220
Las Vegas, NV 89113-2236

Mailing address

8285 W Arby Ave Ste 220
Las Vegas, NV 89113-2236
Phone (702) 737-7753

Other identifiers 1

IdentifierTypeStateIssuer
100511147MedicaidNV

Other names 1

  • Las Vegas Neurosurgery Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000031 NV Part B Supplier - Clinic/Group Practice 0749271450 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2870 S Maryland Pkwy
Ste 220
Las Vegas, NV 89109
Phone (702) 243-4700

8285 W Arby Ave
Ste 220
Las Vegas, NV 89113
Phone (702) 737-7070

Practitioners & affiliated clinicians

Practitioners 4

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1770665002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132236",
            "telephone_number": "702-737-7753",
            "fax_number": "702-407-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132236",
            "telephone_number": "702-737-7753",
            "fax_number": "702-407-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS NEUROSURGERY & SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-737-7753"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "7950",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "10718",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "6485",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "6355",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511147",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Neurosurgery",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Las Vegas Neurosurgery",
            "code": "4",
            "type": "Former Legal Business 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 Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.