EXTREMITY RECONSTRUCTIVE LLC
NPI 1285019646
Podiatrist - Foot & Ankle Surgery in North Las Vegas, NV

Active since July 28, 2015
1703 CIVIC CENTER DR, SUITE #3, NORTH LAS VEGAS, NV 89030(702) 388-1006(702) 388-1751 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Extremity Reconstructive Llc NPPES

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

EXTREMITY RECONSTRUCTIVE LLC (NPI 1285019646) is a healthcare organization registered as a foot & ankle surgery in North Las Vegas, Nevada and active in the NPI registry since July 2015. The organization lists Ira Weiner, Owner, as its authorized official.

NPPES Registry Identity

NPI1285019646
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEXTREMITY RECONSTRUCTIVE LLC
Location Address1703 CIVIC CENTER DR, SUITE #3North Las Vegas, NV 89030-7212
Mailing Address1703 Civic Center Dr, Suite #3North Las Vegas, NV 89030-7212 · (702) 388-1006 · Fax (702) 388-1751
Fax(702) 388-1751
Organization SubpartNo
Authorized OfficialIra WeinerOwner · (702) 388-1006
Enumeration DateJuly 28, 2015
NPI 1285019646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NV · 9205
1703 CIVIC CENTER DR, North Las Vegas, NV 89030

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Dentist
1703 CIVIC CENTER DR, SUITE#6
NORTH LAS VEGAS, NV 89030
Podiatrist
1703 CIVIC CENTER DR, #3
N LAS VEGAS, NV 89030
Podiatrist
1703 CIVIC CENTER DR, SUITE 3
NORTH LAS VEGAS, NV 89030

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 Extremity Reconstructive LLC's NPI number?

The NPI number for Extremity Reconstructive LLC is 1285019646. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Extremity Reconstructive LLC located?

Extremity Reconstructive LLC is located at 1703 Civic Center Dr Suite #3, North Las Vegas, NV 89030. The listed phone number is (702) 388-1006.

What is Extremity Reconstructive LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Extremity Reconstructive LLC was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.