Organization Active NPI

Belmont W. Anderson DPM LTD

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1982678462
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0051 Issued in NV
Legal business name
BELMONT W. ANDERSON DPM LTD
Practice address
1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone
(702) 878-1400
Fax
(702) 878-6300
NPI assigned
Feb 14, 2006
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Belmont William Anderson, DPMNPI 1194907303
Title
Owner
Phone
(702) 878-1400

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)CodeLicenseStatePrimary
Podiatrist 213E00000X 0051 NV Primary

Addresses

Primary practice location

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Mailing address

1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone (702) 878-1400

Other identifiers 1

IdentifierTypeStateIssuer
2102807MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930048201 NV DME Supplier - Physician - Podiatry 7911102389 Practice locations: Las Vegas, NV
O20110205000050 NV Part B Supplier - Clinic/Group Practice 7911102389 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6960 Westcliff Dr
Las Vegas, NV 89145
Phone (702) 393-1726

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJBD

Practitioners & affiliated clinicians

Practitioners 3

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1982678462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-878-1400",
            "fax_number": "702-878-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-878-1400",
            "fax_number": "702-878-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT W. ANDERSON DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BELMONT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-878-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102807",
            "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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.