CIDS FAMILY PRACTICE (NPI# 1811416530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811416530 |
| Entity Type | Organization |
| Organization Name | CIDS FAMILY PRACTICE |
| Practice Address |
2435 Fire Mesa St Ste 110 Las Vegas NV 89128-9009 |
| Mailing Address |
2435 Fire Mesa St Ste 120 Las Vegas NV 89128-9009 |
| Practice Telephone | 7252003242 |
| Practice Fax Number | 7252003244 |
| Mailing Telephone | 7029682437 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | PAGE MCCALISTER (BILLING & CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7252003232 |
| Is Organization Subpart | Y |
| Parent Organization Name | DHAVAL SHAH MD PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2435 FIRE MESA ST STE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823515 | Kristi M Kaminsky | Podiatrist | 2435 Fire Mesa St Ste 110, Las Vegas, NV 89128 | 2006-06-01 |
| 1770991713 | Maria Habbi | Family Medicine | 2435 Fire Mesa St Ste 110, Las Vegas, NV 89128-9009 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207104 | Sibel Infusion Centers Sonpatki Pllc | Family Medicine | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2018-03-03 |
| 1497708754 | Raymond F. Ortiz | Family Medicine | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2006-05-18 |
| 1891774568 | Ram K Singh | Family Medicine | 4432 S Eastern Ave, Las Vegas, NV 89119 | 2006-01-11 |
| 1083247613 | Kayla Mcmillen | Family Medicine | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2020-02-21 |
| 1568912574 | Ivyfer Dela Cruz | Family Medicine | 73 Spectrum Blvd, Las Vegas, NV 89101-4838 | 2016-10-13 |
| 1700224326 | Michael Laurence Resnick | Family Medicine | 851 S Rampart Blvd, S. 220, Las Vegas, NV 89145-4882 | 2013-06-05 |
| 1932466935 | David D.moon, D.o., Ltd | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0306 | 2012-04-13 |
| 1487947990 | Nevada Hospitalist Group - Subacute Division | Family Medicine | 6970 W Patrick Ln Ste 140, Las Vegas, NV 89113-0270 | 2011-05-17 |
| 1225364086 | Spectrum Family Medical | Family Medicine | 1120 Almond Tree Ln, Suite 201, Las Vegas, NV 89104-3229 | 2009-10-28 |
| 1659512762 | Edward Neil Fishman | Family Medicine | 5375 S Fort Apache Rd, Las Vegas, NV 89148-7623 | 2009-03-19 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.