Organization Active NPI

Novatio, PLLC

Doing business as Novatio

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1780280941
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NOVATIO, PLLC
Doing business as
Novatio
Practice address
6080 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5616
Phone
(702) 984-7557
NPI assigned
Dec 11, 2020
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NOVATIO, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Elena Crockett
Title
Executive Assistant
Phone
(702) 984-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

6080 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5616

Mailing address

6080 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5616
Phone (702) 702-9847

Other practice location 1

736 S 900 E Ste 202
St George, UT 84790-7003
Phone (435) 688-1152

Other names 1

  • Novatio Doing business as

National Provider Directory

National Provider Directory
Part of
Novatio PLLC

Locations

6080 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 871-0303

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1780280941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485616",
            "telephone_number": "702-702-9847",
            "fax_number": "833-989-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485616",
            "telephone_number": "702-984-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 S 900 E Ste 202",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907003",
            "country_code": "US",
            "telephone_number": "435-688-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVATIO, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVATIO, PLLC",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "702-984-7557"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novatio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novatio",
            "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 May 26, 2021; 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.