DP Cryotherapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DP CRYOTHERAPY

Practice address

451 Serenity Point Dr
Henderson, NV 89012-5843

Phone

(949) 872-7097

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noel Grant

Title

Owner

Phone

(949) 872-7097

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1952124711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SERENITY POINT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125843",
            "telephone_number": "949-872-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SERENITY POINT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125843",
            "telephone_number": "949-872-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DP CRYOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-872-7097"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda C Downie
• Mary Beth Downing
• Doyle & Rastegar-Lari, PLLC
• Ryan O Doyle, PT, DPT
• Shawna Doyle, CNP
• Dr Breiland (Henderson) PLLC
• Dr Martinez OD, PLLC (St. Rose Eye Care)
• Dr Peter Tran DO LC (Dr. Peter Tran D.O., Family Medicine & Geriatrics)
• Dr Robert P Menard, a Professional Corporation
• Dr Roy Margallo MD

• Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.