NPIMap

Organization Active NPI

Virtue Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1942815527
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
VIRTUE DIALYSIS LLC
Practice address
3880 S Jones Blvd Ste 1900
Las Vegas, NV 89103-2456
Phone
(808) 312-8059
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Adam Bagley
Title
Owner
Phone
(808) 312-8059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

3880 S Jones Blvd Ste 1900
Las Vegas, NV 89103-2456

Mailing address

3880 S Jones Blvd Ste 1900
Las Vegas, NV 89103-2456
Phone (808) 312-8059

National Provider Directory

National Provider Directory

Locations

3880 S Jones Blvd
Ste 1900
Las Vegas, NV 89103
Phone (808) 312-8059

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1942815527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S JONES BLVD STE 1900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032456",
            "telephone_number": "808-312-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S JONES BLVD STE 1900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032456",
            "telephone_number": "808-312-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-312-8059"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "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 Sep 10, 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.