Desert Shores LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM9301 Issued in NV

Legal business name

DESERT SHORES LLC

Practice address

2235 N Rampart Blvd
Las Vegas, NV 89128-7640

Phone

(702) 387-8777

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ted A Cohen, DPMNPI 1619014743

Title

President

Phone

(702) 339-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DESERT SHORES LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Cohen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1619014743
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1881077451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 N RAMPART BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287640",
            "telephone_number": "702-387-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 N RAMPART BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287640",
            "telephone_number": "702-387-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SHORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-339-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "DPM9301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08442697",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT SHORES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Desert Rose Medical Supplies LLC
• Desert Rose Surgery Center
• Desert Sage Counseling LLC
• Desert Shadow Endocopy Center, LLC
• Desert Shores Community Hospice, Inc.
• Desert Sky Home Care, LLC
• Desert Snow LLC
• Desert Speech and Language Center, LLC
• Desert Springs Hospital
• Desert Springs Hospital

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.