DBA INNOVATIVE PROCEDURAL AND SURGICAL CENTER
NPI 1568752202
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

NPI Status: Active since April 14, 2011

Contact Information

9920 W CHEYENNE AVE
SUITE 120
LAS VEGAS, NV
ZIP 89129
Phone: (702) 316-2281

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 29D2023323
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-19-2027

About DBA INNOVATIVE PROCEDURAL AND SURGICAL CENTER

This page provides the complete NPI Profile along with additional information for Dba Innovative Procedural And Surgical Center, 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 1568752202 assigned on April 2011. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Dba Innovative Procedural And Surgical Center. The authorized official of this NPI record is Mr. Matt Paxton (Manager)

NPI
1568752202
Provider Legal Name
WOODWARD AVE., LLC
Other Organization Name
DBA INNOVATIVE PROCEDURAL AND SURGICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9920 W CHEYENNE AVE SUITE 120 LAS VEGAS, NV 89129
Location Phone
(702) 316-2281
Mailing Address
9920 W CHEYENNE AVE SUITE 120 LAS VEGAS, NV 89129
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2011
Last Update Date
04-14-2011
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATT PAXTON

Authorized Official Title
MANAGER
Authorized Official Phone
(702) 316-2281

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.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 175 times for 100 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 43 times for 28 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 467 times for 232 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

This service was performed 113 times for 67 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 237 times for 68 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 85 times for 28 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 44 times for 20 patients

Insertion of spinal neurostimulator electrode array through skin

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 60 times for 32 patients

Insertion of spinal neurostimulator generator or receiver

The 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 37 times for 36 patients

Removal of spine bone for insertion of neurostimulator electrode plate in spine

This 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 21 times for 21 patients

CLIA 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
29D2023323
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 20, 2025
Certificate Expiration Date
April 19, 2027
Laboratory Director
DANIEL L. BURKHEAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dba Innovative Procedural And Surgical Center 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 1568752202, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 4 + 2 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1568752202.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
9920 W CHEYENNE AVE, STE 110
LAS VEGAS, NV 89129
Anesthesiology (Pain Medicine)
9920 W CHEYENNE AVE, #110
LAS VEGAS, NV 89129
Anesthesiology (Pain Medicine)
9920 W CHEYENNE AVE, 110
LAS VEGAS, NV 89129
Nurse Practitioner
9920 W CHEYENNE AVE, SUITE 110
LAS VEGAS, NV 89129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568752202, enumerated as an "organization" on April 14, 2011.

The provider is located at 9920 W CHEYENNE AVE SUITE 120 LAS VEGAS, NV 89129 and the phone number is (702) 316-2281.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.