Organization Active NPI

Dr. Simon J. Farrow

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1942948625
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DR. SIMON J. FARROW
Practice address
5495 S Rainbow Blvd Ste 202
Las Vegas, NV 89118-1873
Phone
(702) 906-0027
Fax
(702) 906-0160
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Rebekah Truman, MD
Title
President
Phone
(702) 906-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5495 S Rainbow Blvd Ste 202
Las Vegas, NV 89118-1873

Mailing address

1000 N Green Valley Pkwy # 440-493
Henderson, NV 89074-6163
Phone (702) 906-0027

Other names 1

  • Spectra Health LV Doing business as

National Provider Directory

National Provider Directory

Locations

1000 N Green Valley Pkwy
#440493
Henderson, NV 89074

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1942948625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY # 440-493",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746163",
            "telephone_number": "702-906-0027",
            "fax_number": "702-906-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 S RAINBOW BLVD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181873",
            "telephone_number": "702-906-0027",
            "fax_number": "702-906-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIMON J. FARROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "TRUMAN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-906-0027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectra Health LV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectra Health LV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 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.