LAS VEGAS PEDIATRICS DIALYSIS CENTER – NPI #1952570590
Clinic/Center

LAS VEGAS PEDIATRICS DIALYSIS CENTER is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1952570590 to LAS VEGAS PEDIATRICS DIALYSIS CENTER on February 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAS VEGAS PEDIATRICS DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is LAS VEGAS PEDIATRIC DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Jun 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAS VEGAS PEDIATRICS DIALYSIS CENTER below.

NPI Profile for
LAS VEGAS PEDIATRIC DIALYSIS LLC

NPI Number
1952570590
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAS VEGAS PEDIATRIC DIALYSIS LLC
Doing Business As (dba): LAS VEGAS PEDIATRICS DIALYSIS CENTER
Primary location
7271 W SAHARA AVE STE 120
LAS VEGAS, NV 89117-2862
Phone: (702) 227-3049 Fax: (702) 227-8882
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 341-6814 Fax: (800) 293-8405
Organization Subpart
No
Authorized Official
JOHN WINSTEL
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Updated
Certification Date
Jun 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAS VEGAS PEDIATRICS DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV1952570590
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
NV 5251ESR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.