Organization Active NPI

Robert W Shreck MD LTD

  • Health Service Clinic/Center
  • Henderson, NV
National Provider Identifier
1922201896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3373 Issued in NV
Legal business name
ROBERT W SHRECK MD LTD
Practice address
3048 Palatine Terrace Dr
Henderson, NV 89052-3002
Phone
(702) 733-8803
Fax
(702) 733-7488
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Shreck, MD
Title
President
Phone
(702) 733-8803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3373 NV Primary

Addresses

Primary practice location

3048 Palatine Terrace Dr
Henderson, NV 89052-3002

Mailing address

2505 Anthem Village Dr
Suite E-334
Henderson, NV 89052-5505
Phone (702) 733-8803

Other names 1

  • Shreck Family Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

2505 Anthem Village Dr
Ste E334
Henderson, NV 89052

2080 E Flamingo Rd
Ste 312
Las Vegas, NV 89119
Phone (702) 733-8803

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922201896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR",
            "address_2": "SUITE E-334",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "702-733-8803",
            "fax_number": "702-733-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 PALATINE TERRACE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523002",
            "telephone_number": "702-733-8803",
            "fax_number": "702-733-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W SHRECK MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreck Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.