Active NPI
Nicole J. Moss, M.D., LTD.
- Obstetrics & Gynecology Physician
- Las Vegas, NV
National Provider Identifier
1952589541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9708
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.