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NCR MEDICAL AND WELLNESS CENTER LLC
NPI 1114710456
Family Medicine in Las Vegas, NV

Active since May 28, 2025
4225 S EASTERN AVE STE 9, LAS VEGAS, NV 89119(725) 316-3851(702) 552-0302 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, May 28, 2025 (2 updates tracked since 2025).

About Ncr Medical And Wellness Center Llc NPPES

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

NCR MEDICAL AND WELLNESS CENTER LLC (NPI 1114710456) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since May 2025. The organization lists Susan Cubil, Owner, as its authorized official.

NPPES Registry Identity

NPI1114710456
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNCR MEDICAL AND WELLNESS CENTER LLC
Location Address4225 S EASTERN AVE STE 9Las Vegas, NV 89119-5485
Mailing Address4225 S Eastern Ave Ste 9Las Vegas, NV 89119-5485 · (725) 316-3851 · Fax (702) 552-0302
Phone(725) 316-3851
Fax(702) 552-0302
Organization SubpartNo
Authorized OfficialSusan CubilOwner · (725) 316-3851
Enumeration DateMay 28, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1114710456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4225 S EASTERN AVE STE 9, Las Vegas, NV 89119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ncr Medical And Wellness Center LLC's NPI number?

The NPI number for Ncr Medical And Wellness Center LLC is 1114710456. It was assigned to this organization in the NPPES registry on May 28, 2025.

Where is Ncr Medical And Wellness Center LLC located?

Ncr Medical And Wellness Center LLC is located at 4225 S Eastern Ave Ste 9, Las Vegas, NV 89119. The listed phone number is (725) 316-3851.

What is Ncr Medical And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ncr Medical And Wellness Center LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.