Organization Active NPI

Red Rock Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1821867029
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RED ROCK PAIN SPECIALISTS, LLC
Practice address
3935 S Durango Dr Ste C2
Las Vegas, NV 89147-4170
Phone
(702) 829-6386
Fax
(800) 540-4039
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Denys Goloshchapov, MDNPI 1649687914
Title
Owner
Phone
(801) 205-1041

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3935 S Durango Dr Ste C2
Las Vegas, NV 89147-4170

Mailing address

6415 S Fort Apache Rd Ste 185-1005
Las Vegas, NV 89148-6744
Phone (702) 829-6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240413000111 NV Part B Supplier - Clinic/Group Practice 0244679017 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6415 S Fort Apache Rd
Ste 1851005
Las Vegas, NV 89148

3935 S Durango Dr
Ste C2
Las Vegas, NV 89147
Phone (702) 829-6386

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": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1821867029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 S FORT APACHE RD STE 185-1005",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486744",
            "telephone_number": "702-829-6386",
            "fax_number": "702-479-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 S DURANGO DR STE C2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474170",
            "telephone_number": "702-829-6386",
            "fax_number": "800-540-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "GOLOSHCHAPOV",
        "authorized_official_first_name": "DENYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-205-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "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 Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.