Organization Active NPI

Dr. Leon R. Noorda

  • Podiatric Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1912199506
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
22 Issued in NV
Legal business name
DR. LEON R. NOORDA
Practice address
4660 S Eastern Ave Ste 106
Las Vegas, NV 89119-6146
Phone
(702) 456-1441
Fax
(702) 456-3901
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Leon R Noorda, D.P.M.
Title
Owner
Phone
(702) 456-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 22 NV Primary

Addresses

Primary practice location

4660 S Eastern Ave Ste 106
Las Vegas, NV 89119-6146

Mailing address

4660 S Eastern Ave Ste 106
Las Vegas, NV 89119-6146
Phone (702) 456-1441

National Provider Directory

National Provider Directory

Locations

4660 S Eastern Ave
Ste 106
Las Vegas, NV 89119
Phone (702) 456-1441

Practitioners & affiliated clinicians

Practitioners 3

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": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1912199506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196146",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196146",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEON R. NOORDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "NOORDA",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-456-1441",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NV",
            "license": "22",
            "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 Aug 16, 2007; 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.