MEDICAL AND DENTAL CENTER OF NEVADA LLC
NPI 1215429030
Clinic/Center - Ambulatory Surgical in Las Vegas, NV
NPI Status: Active since June 06, 2018
Contact Information
4275 BURNHAM AVE STE 101
LAS VEGAS, NV
ZIP 89119
Phone: (702) 489-3555
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 29D2152419
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-07-2026
About MEDICAL AND DENTAL CENTER OF NEVADA LLC
This page provides the complete NPI Profile along with additional information for Medical And Dental Center Of Nevada Llc, a provider established in Las Vegas, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1215429030 assigned on June 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Devin Larsen (Ceo)
- NPI
- 1215429030
- Provider Name
- MEDICAL AND DENTAL CENTER OF NEVADA LLC
- Entity Type
- Organization
- Location Address
- 4275 BURNHAM AVE STE 101 LAS VEGAS, NV 89119
- Location Phone
- (702) 489-3555
- Mailing Address
- 4275 BURNHAM AVE STE 101 LAS VEGAS, NV 89119
- Mailing Phone
- (702) 489-3555
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2018
- Last Update Date
- 12-11-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Insertion of spinal neurostimulator electrode array through skin
Insertion of spinal neurostimulator generator or receiver
Removal of spine bone for insertion of neurostimulator electrode plate in spine
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
This service was performed 25 times for 13 patientsThe insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
This service was performed 13 times for 13 patientsThis procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.
This service was performed 12 times for 12 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2152419
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 08, 2024
- Certificate Expiration Date
- August 07, 2026
- Laboratory Director
- DODD HYER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical And Dental Center Of Nevada Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215429030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
LAS VEGAS, NV 89119
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215429030, enumerated as an "organization" on June 06, 2018.
The provider is located at 4275 BURNHAM AVE STE 101 LAS VEGAS, NV 89119 and the phone number is (702) 489-3555.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
