CIDS FAMILY PRACTICE – NPI #1811416530
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

CIDS FAMILY PRACTICE is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1811416530 to CIDS FAMILY PRACTICE on September 13, 2017. 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 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 7 years ago on Feb 14, 2019. 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 CIDS FAMILY PRACTICE below.

NPI Profile for
CIDS FAMILY PRACTICE

NPI Number
1811416530
Enumeration Date

(more than 8 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
CIDS FAMILY PRACTICE
Primary location
2435 FIRE MESA ST STE 110
LAS VEGAS, NV 89128-9009
Phone: (725) 200-3242 Fax: (725) 200-3244
Mailing address
2435 FIRE MESA ST STE 120
LAS VEGAS, NV 89128-9009
Phone: (702) 968-2437 Fax:
Organization Subpart
Yes - CIDS FAMILY PRACTICE is subpart of another organization.
Authorized Official
PAGE MCCALISTER
BILLING & CREDENTIALING MANAGER
Phone: (725) 200-3232
Updated
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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
213E00000X
- Podiatrist
207K00000X
- Allergy & Immunology

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.