Organization Active NPI

Robert a Whipple, LTD.

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1902596372
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROBERT A WHIPPLE, LTD.
Practice address
7473 W Lake Mead Blvd Ste 213
Las Vegas, NV 89128-0265
Phone
(702) 562-1230
Fax
(702) 410-2657
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Dr. Robert Whipple, MDNPI 1427073824
Title
Owner
Phone
(702) 218-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7473 W Lake Mead Blvd Ste 213
Las Vegas, NV 89128-0265

Mailing address

1824 Wincanton Dr
Las Vegas, NV 89134-6171
Phone (702) 562-1230

Other names 1

  • Emerald Bay Medical Doing business as

National Provider Directory

National Provider Directory

Locations

7473 W Lake Mead Blvd
Ste 213
Las Vegas, NV 89128
Phone (702) 562-1230

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1902596372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 WINCANTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346171",
            "telephone_number": "702-562-1230",
            "fax_number": "702-447-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD STE 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-562-1230",
            "fax_number": "702-410-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A WHIPPLE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-218-2284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Bay Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerald Bay Medical",
            "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 May 9, 2024; 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.