Individual provider Active NPI

Dominic Nardini III, MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1881953883
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0220 Issued in NV
Practice address
1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone
(702) 382-0784
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0220 NV Primary

Addresses

Primary practice location

1257 Paiute Cir
Las Vegas, NV 89106-3202

Mailing address

1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone (702) 382-0784

Other identifiers 1

IdentifierTypeStateIssuer
1861511271MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320001337 TX Practitioner - Marriage and Family Therapist 2668956384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Sparks Indian ColonyGroup PAC ID 6507761897, 17 clinicians

Practice addresses (Care Compare)

1715 Kuenzli St
Reno, NV 89502-1117
Phone (775) 329-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0220NVMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: dominic.nardini.p1@direct.rsthc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1881953883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 PAIUTE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063202",
            "telephone_number": "702-382-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 PAIUTE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063202",
            "telephone_number": "702-382-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDINI",
        "first_name": "DOMINIC",
        "name_suffix": "III",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861511271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.