Active NPI
The Nevada Wellness Group LLC
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Las Vegas, NV
National Provider Identifier
1851901722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 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 DirectoryLocations
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": []
}
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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.