Active NPI
Charles H. Tadlock, M.D. LTD
- Non-Pharmacy Dispensing Site
- Las Vegas, NV
National Provider Identifier
1962720078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- CHARLES H. TADLOCK, M.D. LTD
- Practice address
- 6725 S Eastern Ave Ste 6
Las Vegas, NV 89119-3949 - Phone
- (702) 474-0200
- NPI assigned
- May 13, 2010
- Organization subpart
- Yes
- Parent organization
- CHARLES H. TADLOCK, M.D. LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles H Tadlock, M.D.
- Title
- Owner
- Phone
- (702) 474-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
6725 S Eastern Ave Ste 6
Las Vegas, NV 89119-3949
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019927 | Medicaid | NV |
National Provider Directory
National Provider Directory- Part of
- Charles H Tadlock MD LT
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1720292642
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1861487878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1962720078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 S EASTERN AVE STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193949",
"telephone_number": "702-474-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES H. TADLOCK, M.D. LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHARLES H. TADLOCK, M.D. LTD",
"enumeration_date": "2010-05-13",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "TADLOCK",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-474-0200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019927",
"state": "NV"
}
],
"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 Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.