Jeffrey Joseph Roth, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

7663 Issued in NV

Practice address

6140 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6737

Phone

(702) 450-0777

Fax

(702) 459-7701

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1932109212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486737",
            "telephone_number": "702-450-0777",
            "fax_number": "702-459-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486737",
            "telephone_number": "702-450-0777",
            "fax_number": "702-459-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "7663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503381",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Lee Roth
• Daniel William Roth, FNP-BC
• Desiree Parras Roth, PHARMD
• Ellen Roth
• Jeanne Marie Roth
• Robert Stephan Roth, M.D.
• Samantha Telarroja Roth, PA-C
• Sharon Roth, OMD, LAC
• Jonathan E Rothbart, DMD
• Betty Rothenstein, APN

• Plastic Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Plastic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.