NPIMap

Organization Active NPI

Misako McLeod PLLC

  • Foot Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1770968000
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1107 Issued in NV
Legal business name
MISAKO MCLEOD PLLC
Practice address
100 Park Vista Dr
Suite 3087
Las Vegas, NV 89138-3026
Phone
(844) 442-3668
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Misako McLeod, DPMNPI 1982891297
Title
Owner
Phone
(415) 302-0239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X 1107 NV Primary

Addresses

Primary practice location

100 Park Vista Dr
Suite 3087
Las Vegas, NV 89138-3026

Mailing address

100 Park Vista Dr
Suite 3087
Las Vegas, NV 89138-3026
Phone (844) 442-3668

Other identifiers 1

IdentifierTypeStateIssuer
1107OtherNVNEVADA STATE BOARD MEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770968000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK VISTA DR",
            "address_2": "SUITE 3087",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383026",
            "telephone_number": "844-442-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK VISTA DR",
            "address_2": "SUITE 3087",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383026",
            "telephone_number": "844-442-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISAKO MCLEOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "MISAKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-302-0239",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NV",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD MEDICAL LICENSE",
            "identifier": "1107",
            "state": "NV"
        }
    ],
    "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 Mar 7, 2023; 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.