Individual provider Active NPI

Marcus Greer, LMT, MMP

  • Massage Therapist
  • North Las Vegas, NV
National Provider Identifier
1831758903
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT.6621 Issued in NV
Practice address
316 Gemstone Hill Ave
North Las Vegas, NV 89031-6862
Phone
(702) 812-2246
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NVMT.6621 NV Primary

Addresses

Primary practice location

316 Gemstone Hill Ave
North Las Vegas, NV 89031-6862

Mailing address

316 Gemstone Hill Ave
North Las Vegas, NV 89031-6862
Phone (702) 812-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NVMT.6621NVMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1831758903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GEMSTONE HILL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316862",
            "telephone_number": "702-812-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 GEMSTONE HILL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316862",
            "telephone_number": "702-812-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "MARCUS",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.6621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.