NPIMap

Organization Active NPI

New Vision Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Henderson, NV
National Provider Identifier
1942520259
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
5774 Issued in NV
Legal business name
NEW VISION PAIN CENTER
Practice address
2451 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5790
Phone
(702) 257-7246
Fax
(702) 257-7129
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Robert H Odell Jr., MD, PHDNPI 1013957026
Title
Owner
Phone
(702) 257-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 5774 NV Primary

Addresses

Primary practice location

2451 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5790

Mailing address

4075 S Durango Dr Ste 111
PMB 141
Las Vegas, NV 89147-4164
Phone (702) 257-7246

National Provider Directory

National Provider Directory

Locations

4075 S Durango Dr
Ste 111
Las Vegas, NV 89147

Practitioners & affiliated clinicians

Practitioners 1

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": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1942520259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 S DURANGO DR STE 111",
            "address_2": "PMB 141",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474164",
            "telephone_number": "702-257-7246",
            "fax_number": "702-257-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525790",
            "telephone_number": "702-257-7246",
            "fax_number": "702-257-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-257-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "5774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2010; 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.