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

Active since April 14, 2011CLIA 29D2023323 · Waiver
9920 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129(702) 316-2281 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dba Innovative Procedural And Surgical Center NPPES

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

DBA INNOVATIVE PROCEDURAL AND SURGICAL CENTER (NPI 1568752202) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Matt Paxton, Manager, as its authorized official.

NPPES Registry Identity

NPI1568752202
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWOODWARD AVE., LLC
Location Address9920 W CHEYENNE AVE, SUITE 120Las Vegas, NV 89129-7725
Mailing Address9920 W Cheyenne Ave, Suite 120Las Vegas, NV 89129-7725
Phone(702) 316-2281
Organization SubpartNo
Authorized OfficialMatt PaxtonManager · (702) 316-2281
Enumeration DateApril 14, 2011
✔ NPI 1568752202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9920 W CHEYENNE AVE, Las Vegas, NV 89129
Open in Google Maps ↗

Other Names 1

Doing Business AsDba Innovative Procedural And Surgical 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 29D2023323

Innovative Procedural And Surgical Center Woodward Ave LLC · Las Vegas, NV
Active · expires Apr 19, 2027
CLIA Number29D2023323
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDaniel L. Burkhead
Laboratory Phone(702) 316-2281
Laboratory LocationInnovative Procedural And Surgical Center Woodward Ave LLC9920 W Cheyenne Suite 120, Las Vegas, NV 89129
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
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.
562 services282 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
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.
288 services86 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
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.
231 services128 patients
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479
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.
122 services75 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
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.
114 services35 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
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.
95 services37 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL LEWIS BURKHEAD MD LTD
Pain Medicine (Interventional Pain Medicine)
9920 W CHEYENNE AVE, STE 110
LAS VEGAS, NV 89129
Clark County (702) 316-2281
THOMAS THEROUX FNP-C
Nurse Practitioner
9920 W CHEYENNE AVE, SUITE 110
LAS VEGAS, NV 89129
Clark County (702) 316-2281
DR. WILLIS Y WU M.D.
Anesthesiology (Pain Medicine)
9920 W CHEYENNE AVE, 110
LAS VEGAS, NV 89129
Clark County (702) 684-7246
DANIEL L. BURKHEAD, MD LTD
Anesthesiology (Pain Medicine)
9920 W CHEYENNE AVE, #110
LAS VEGAS, NV 89129
Clark County (702) 316-2281

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 Woodward Ave., LLC's NPI number?

The NPI number for Woodward Ave., LLC is 1568752202. It was assigned to this organization in the NPPES registry on April 14, 2011. The provider is doing business as Dba Innovative Procedural And Surgical Center.

Where is Woodward Ave., LLC located?

Woodward Ave., LLC is located at 9920 W Cheyenne Ave Suite 120, Las Vegas, NV 89129. The listed phone number is (702) 316-2281.

What is Woodward Ave., LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Woodward Ave., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2023323) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodward Ave., LLC was last updated on April 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.