Organization Active NPI

Nicole J. Moss, M.D., LTD.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1952589541
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9708 Issued in NV
Legal business name
NICOLE J. MOSS, M.D., LTD.
Practice address
2931 N Tenaya Way
Suite 204
Las Vegas, NV 89128-0456
Phone
(702) 233-2123
Fax
(702) 233-0398
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Nicole Juliana Moss, M.D.
Title
LLC Managing Member
Phone
(702) 242-2782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 9708 NV Primary

Addresses

Primary practice location

2931 N Tenaya Way
Suite 204
Las Vegas, NV 89128-0456

Mailing address

2931 N Tenaya Way
Suite 204
Las Vegas, NV 89128-0456
Phone (702) 233-2123

National Provider Directory

National Provider Directory

Locations

2931 N Tenaya Way
Ste 204
Las Vegas, NV 89128
Phone (702) 233-2123

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1952589541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY",
            "address_2": "SUITE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280456",
            "telephone_number": "702-233-2123",
            "fax_number": "702-233-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY",
            "address_2": "SUITE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280456",
            "telephone_number": "702-233-2123",
            "fax_number": "702-233-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE J. MOSS, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "JULIANA",
        "authorized_official_title_or_position": "LLC MANAGING MEMBER",
        "authorized_official_telephone_number": "702-242-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "9708",
            "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 Oct 1, 2009; 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.