Individual provider Active NPI

Jameson B Noorda, DPM

  • Primary Podiatric Medicine Podiatrist
  • Henderson, NV
National Provider Identifier
1811099609
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0505 Issued in NV
Practice address
68 N Pecos Rd
Suite a
Henderson, NV 89074-7339
Phone
(702) 456-1441
Fax
(702) 456-3901
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0505 NV
Foot & Ankle Surgery Podiatrist 213ES0103X 0505 NV
Primary Podiatric Medicine Podiatrist 213EP1101X 0505 NV Primary

Addresses

Primary practice location

68 N Pecos Rd
Suite a
Henderson, NV 89074-7339

Mailing address

68 N Pecos Rd
Suite a
Henderson, NV 89074-7339
Phone (702) 456-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060419000385 NV Practitioner - Podiatry 8022027069 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV
O20100930098329 NV DME Supplier - Physician - Podiatry 8022209394 Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 N Pecos Rd
Suite a
Henderson, NV 89074-7340
Phone (702) 456-1441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0505NVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Leon R. Noorda Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: affiliatedpodiatry.jamesonnoorda@160021.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1811099609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747339",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747339",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORDA",
        "first_name": "JAMESON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0505",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0505",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "0505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.