Organization Active NPI

The Nevada Wellness Group LLC

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Las Vegas, NV
National Provider Identifier
1851901722
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
Legal business name
THE NEVADA WELLNESS GROUP LLC
Practice address
9691 Trailwood Dr Ste 104
Las Vegas, NV 89134-6254
Phone
(702) 518-7180
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Chuck Gomez
Title
Owner
Phone
(646) 241-7728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 225500000X Primary

Addresses

Primary practice location

9691 Trailwood Dr Ste 104
Las Vegas, NV 89134-6254

Mailing address

221 Popolo Dr
Las Vegas, NV 89138-1508
Phone (718) 431-5554

National Provider Directory

National Provider Directory

Locations

9691 Trailwood Dr
Ste 104
Las Vegas, NV 89134
Phone (702) 518-7180

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1851901722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 POPOLO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381508",
            "telephone_number": "718-431-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9691 TRAILWOOD DR STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346254",
            "telephone_number": "702-518-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEVADA WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-241-7728"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "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 Aug 5, 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.