Northern Nevada Lithotripsy

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

NORTHERN NEVADA LITHOTRIPSY

Practice address

1990 Steam Way Ste A102
Round Rock, TX 78665-2233

Phone

(877) 465-4845

Fax

(512) 872-5105

NPI assigned

Apr 20, 2007

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latanya Castile

Title

Payer Relations

Phone

(847) 544-5939

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1982822615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 STEAM WAY STE A102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652233",
            "telephone_number": "877-465-4845",
            "fax_number": "512-872-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 STEAM WAY STE A102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652233",
            "telephone_number": "877-465-4845",
            "fax_number": "512-872-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA LITHOTRIPSY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CASTILE",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "PAYER RELATIONS",
        "authorized_official_telephone_number": "847-544-5939"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.