Active NPI
Greg Cain, MASTERS IN EDUCATION
- Lodging Provider
- Las Vegas, NV
National Provider Identifier
1790555928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- 86-2111897
- Practice address
- 4361 Verona Ave
Las Vegas, NV 89120-2118 - Phone
- (760) 224-9998
- NPI assigned
- Jan 8, 2024
- Last updated
- Jan 8, 2024
- 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 |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 86-2111897 | NV | Primary |
Addresses
Primary practice location
4361 Verona Ave
Las Vegas, NV 89120-2118
Mailing address
928 Alan Shepard St
Las Vegas, NV 89145-6005
Phone (760) 224-9998
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86-2111897 | NV | MD | Lodging Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1790555928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 ALAN SHEPARD ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891456005",
"telephone_number": "760-224-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 VERONA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202118",
"telephone_number": "760-224-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "GREG",
"credential": "MASTERS IN EDUCATION",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NV",
"license": "86-2111897",
"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 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.