INCREDICARE PEDIATRICS – NPI #1912684176
Clinic/Center

INCREDICARE PEDIATRICS is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1912684176 to INCREDICARE PEDIATRICS on June 29, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on Jan 25, 2024. 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 INCREDICARE PEDIATRICS below.

NPI Profile for
INCREDICARE PEDIATRICS

NPI Number
1912684176
Enumeration Date

(about 3 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
INCREDICARE PEDIATRICS
Primary location
5510 S FORT APACHE RD
SUITE 465
LAS VEGAS, NV 89148
Phone: (702) 250-6106 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT WILKINSON
CEO
Phone: (725) 867-8144
Updated
Certification Date
Jan 25, 2024

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.

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
261QU0200X
- Clinic/Center / Urgent Care (Primary)
208000000X
- Pediatrics

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.