Active NPI
Wellness Center LLC
- Clinic/Center
- Las Vegas, NV
National Provider Identifier
1952085219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WELLNESS CENTER LLC
- Practice address
- 400 S 4TH St Ste 110
Las Vegas, NV 89101-6202 - Phone
- (702) 498-8771
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Misherfi
- Title
- Owner
- Phone
- (702) 498-8771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
400 S 4TH St Ste 110
Las Vegas, NV 89101-6202
Mailing address
400 S 4TH St Ste 110
Las Vegas, NV 89101-6202
Phone (702) 498-8771
National Provider Directory
National Provider DirectoryLocations
400 S 4th St
Ste 110
Las Vegas, NV 89101
Phone (702) 498-8771
3920 E Patrick Ln
#210
Las Vegas, NV 89120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1952085219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 4TH ST STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016202",
"telephone_number": "702-498-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 4TH ST STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016202",
"telephone_number": "702-498-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "MISHERFI",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-498-8771"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.