NPIMap

Organization Active NPI

Desert Nephrology of Nevada, LLC

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1972909190
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
NV20141490480 Issued in NV
Legal business name
DESERT NEPHROLOGY OF NEVADA, LLC
Practice address
900 S Main St
Las Vegas, NV 89101-6425
Phone
(702) 369-3699
NPI assigned
Nov 16, 2014
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Dr. Cyril Ovuworie, M.D.NPI 1255498135
Title
President
Phone
(702) 369-3699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X NV20141490480 NV Primary

Addresses

Primary practice location

900 S Main St
Las Vegas, NV 89101-6425

Mailing address

900 S Main St
Las Vegas, NV 89101-6425
Phone (702) 369-3699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1972909190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016425",
            "telephone_number": "702-369-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016425",
            "telephone_number": "702-369-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT NEPHROLOGY OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "OVUWORIE",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-369-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "NV20141490480",
            "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 Mar 24, 2021; 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.