Organization Active NPI

Hinshaw Dermatology, P.C.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1831129014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11644 Issued in NV
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.