Active NPI
Hinshaw Dermatology, P.C.
- Dermatology Physician
- Las Vegas, NV
National Provider Identifier
1831129014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 11644
- Legal business name
- HINSHAW DERMATOLOGY, P.C.
- Practice address
- 653 N Town Center Dr
Suite #400
Las Vegas, NV 89144-0514 - Phone
- (702) 343-3522
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clayton Thomas Hinshaw, M.D.
- Title
- President
- Phone
- (310) 890-5883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 11644 | NV | Primary |
Addresses
Primary practice location
653 N Town Center Dr
Suite #400
Las Vegas, NV 89144-0514
Mailing address
5130 S Fort Apache Rd
#215-379
Las Vegas, NV 89148-1719
National Provider Directory
National Provider DirectoryLocations
5130 S Fort Apache Rd
Las Vegas, NV 89148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831129014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 S FORT APACHE RD",
"address_2": "#215-379",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR",
"address_2": "SUITE #400",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440514",
"telephone_number": "702-343-3522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HINSHAW DERMATOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HINSHAW",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-890-5883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NV",
"license": "11644",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.