Organization Active NPI

Silver State Complete Wellness Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1881480564
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SILVER STATE COMPLETE WELLNESS CENTER LLC
Practice address
5148 Villa Vecchio CT
Las Vegas, NV 89141-0461
Phone
(702) 890-2043
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Zoe Cannon
Title
Owner
Phone
(702) 728-8371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5148 Villa Vecchio CT
Las Vegas, NV 89141-0461

Mailing address

5148 Villa Vecchio CT
Las Vegas, NV 89141-0461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1881480564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 VILLA VECCHIO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891410461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 VILLA VECCHIO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891410461",
            "telephone_number": "702-890-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE COMPLETE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-728-8371"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Apr 17, 2025; 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.