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WOUND PROS NEVADA
NPI 1053959791
General Practice in Las Vegas, NV

Active since December 12, 2019
1700 E DESERT INN RD STE 103, LAS VEGAS, NV 89169(888) 880-3451 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Aug 13, 2021, Dec 12, 2019 (3 updates tracked since 2019).

About Wound Pros Nevada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOUND PROS NEVADA (NPI 1053959791) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Las Vegas and lists Christopher Ayodele Otiko, President, as its authorized official.

NPPES Registry Identity

NPI1053959791
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWOUND PROS NEVADA
Location Address1700 E DESERT INN RD STE 103Las Vegas, NV 89169-3206
Mailing Address4640 Admiralty Way Ste 500Marina Del Rey, CA 90292-6636 · (888) 880-3451 · Fax (323) 433-9177
Phone(888) 880-3451
Organization SubpartNo
Authorized OfficialChristopher Ayodele OtikoPresident · (818) 836-2475
Enumeration DateDecember 12, 2019
Last NPPES UpdateMay 23, 20223 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1053959791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1700 E DESERT INN RD STE 103, Las Vegas, NV 89169
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Secondary Practice Location 1

Location 15940 S Rainbow Blvd Ste 2007Las Vegas, NV 89118-2506 · Phone (818) 836-2475 · Fax (323) 433-9177

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NV WOUND CARE MEDICAL GROUP
General Practice
1700 E DESERT INN RD STE 103
LAS VEGAS, NV 89169
Clark County (323) 480-4075
MELVIN MCCLENDON
Behavior Analyst
1700 E DESERT INN RD STE 103
LAS VEGAS, NV 89169
Clark County (702) 862-4774
DANIEL L HALLMAN DPM
Podiatrist (Foot & Ankle Surgery)
1700 E DESERT INN RD STE 103
LAS VEGAS, NV 89169
Clark County (888) 880-3451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wound Pros Nevada's NPI number?

The NPI number for Wound Pros Nevada is 1053959791. It was assigned to this organization in the NPPES registry on December 12, 2019.

Where is Wound Pros Nevada located?

Wound Pros Nevada is located at 1700 E Desert Inn Rd Ste 103, Las Vegas, NV 89169. The listed phone number is (888) 880-3451.

What is Wound Pros Nevada's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wound Pros Nevada was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.