Organization Active NPI

Lance D Mayor, MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1891098760
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3943 Issued in NV
Legal business name
LANCE D MAYOR, MD LTD
Doing business as
Lance D Mayor MD
Practice address
2121 E Flamingo Rd
202
Las Vegas, NV 89119-5122
Phone
(702) 369-0004
Fax
(702) 369-6488
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Lance D Mayor, MD
Title
Owner
Phone
(702) 369-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 3943 NV Primary

Addresses

Primary practice location

2121 E Flamingo Rd
202
Las Vegas, NV 89119-5122

Mailing address

2121 E Flamingo Rd
202
Las Vegas, NV 89119-5122
Phone (702) 369-0004

Other identifiers 1

IdentifierTypeStateIssuer
20-02341MedicaidNV

Other names 1

  • Lance D Mayor MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1891098760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD",
            "address_2": "202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195122",
            "telephone_number": "702-369-0004",
            "fax_number": "702-369-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD",
            "address_2": "202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195122",
            "telephone_number": "702-369-0004",
            "fax_number": "702-369-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE D MAYOR, MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MAYOR",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-369-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "3943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-02341",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance D Mayor MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 14, 2010; 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.