Organization Active NPI

Xtendnillc

Doing business as xxx.xtendnillc.com

  • Other Technician
  • Las Vegas, NV
National Provider Identifier
1811770373
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
XTENDNILLC
Doing business as
xxx.xtendnillc.com
Practice address
4343 N Rancho
Suite 108
Las Vegas, NV 89130
Phone
(702) 841-1897
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Mrs. Christina R Thompson
Title
Manager
Phone
(702) 841-1897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

4343 N Rancho
Suite 108
Las Vegas, NV 89130

Mailing address

304 S Jones Blvd # 284
Las Vegas, NV 89107-2623
Phone (702) 841-1897

Other names 1

  • xxx.xtendnillc.com Doing business as

National Provider Directory

National Provider Directory

Locations

4343 N Rancho Dr
Ste 108
Las Vegas, NV 89130
Phone (702) 841-1897

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1811770373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 284",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-841-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N RANCHO",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89130",
            "telephone_number": "702-841-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTENDNILLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-841-1897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xxx.xtendnillc.com",
            "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 Aug 17, 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.