NPIMap

Organization Active NPI

Mindbodysolutions

  • Preferred Provider Organization
  • Las Vegas, NV
National Provider Identifier
1891134615
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
305R00000X Issued in NV
Legal business name
MINDBODYSOLUTIONS
Practice address
2725 S Jones Blvd
Las Vegas, NV 89146-5605
Phone
(702) 218-6271
NPI assigned
Jun 14, 2013
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Mr. Malik Jenkins, QMHA
Title
Supervisor
Phone
(702) 218-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 305R00000X NV Primary

Addresses

Primary practice location

2725 S Jones Blvd
Las Vegas, NV 89146-5605

Mailing address

2725 S Jones Blvd
Las Vegas, NV 89146-5605
Phone (702) 218-6271

National Provider Directory

National Provider Directory
Tax ID family
Department of Veterans Affiars6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1891134615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "702-218-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "702-218-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBODYSOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "702-218-6271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "305R00000X",
            "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 Jun 14, 2013; 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.