Organization Active NPI

Summit Wellness of DPSW LLC

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1902722903
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SUMMIT WELLNESS OF DPSW LLC
Practice address
50 S Jones Blvd Ste 201
Las Vegas, NV 89107-2680
Phone
(725) 302-5780
NPI assigned
Jun 25, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Nick Gywn
Title
Coo
Phone
(725) 302-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

50 S Jones Blvd Ste 201
Las Vegas, NV 89107-2680

Mailing address

3909 S Maryland Pkwy Ste 314
Las Vegas, NV 89119-7520

National Provider Directory

National Provider Directory
Tax ID family
Summit Wellness of DPSW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

50 S Jones Blvd
Ste 201
Las Vegas, NV 89107

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1902722903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 S MARYLAND PKWY STE 314",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S JONES BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072680",
            "telephone_number": "725-302-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS OF DPSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "GYWN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "725-302-5780"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "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 Jun 25, 2026; 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.