NELLIS FAMILY MEDICAL AND DENTAL CENTER
NPI 1114751112
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Vegas, NV

Active since August 30, 2024CLIA 29D2312157 · Waiver
691 N NELLIS BLVD, LAS VEGAS, NV 89110(702) 563-4662 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nellis Family Medical And Dental Center NPPES

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

NELLIS FAMILY MEDICAL AND DENTAL CENTER (NPI 1114751112) is a healthcare organization registered as a federally qualified health center (fqhc) in Las Vegas, Nevada and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Elizabeth Esteves, Provider Relations Manager, as its authorized official.

NPPES Registry Identity

NPI1114751112
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEVADA HEALTH CENTERS, INC.
Location Address691 N NELLIS BLVDLas Vegas, NV 89110-5383
Mailing Address3325 Research WayCarson City, NV 89706-7913
Organization SubpartYes
Authorized OfficialElizabeth EstevesProvider Relations Manager · (702) 220-9902
Enumeration DateAugust 30, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
NPI 1114751112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
691 N NELLIS BLVD, Las Vegas, NV 89110

Other Names 1

Doing Business AsNellis Family Medical And Dental Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2312157

Nellis Family Health And Dental Center · Las Vegas, NV
Active · expires Oct 3, 2026
CLIA Number29D2312157
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorDarren A Rahaman
Laboratory Phone(702) 677-0697
Laboratory LocationNellis Family Health And Dental Center691 North Nellis Boulevard, Las Vegas, NV 89110
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
691 N NELLIS BLVD
LAS VEGAS, NV 89110
Physician Assistant
691 N NELLIS BLVD
LAS VEGAS, NV 89110
Nurse Practitioner (Gerontology)
691 N NELLIS BLVD
LAS VEGAS, NV 89110

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 Nevada Health Centers, Inc.'s NPI number?

The NPI number for Nevada Health Centers, Inc. is 1114751112. It was assigned to this organization in the NPPES registry on August 30, 2024. The provider is doing business as Nellis Family Medical And Dental Center.

Where is Nevada Health Centers, Inc. located?

Nevada Health Centers, Inc. is located at 691 N Nellis Blvd, Las Vegas, NV 89110. The listed phone number is (702) 563-4662.

What is Nevada Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Nevada Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2312157) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nevada Health Centers, Inc. was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.