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VIP SPINE LLC
NPI 1689468308
Clinic/Center - Pain in Las Vegas, NV

Active since April 07, 2025CLIA 29D2337863 · Waiver
7455 W AZURE DR STE 140, LAS VEGAS, NV 89130(702) 765-4222(702) 718-6652 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2025, Jun 25, 2025, Apr 7, 2025 (3 updates tracked since 2025).

About Vip Spine Llc NPPES

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

VIP SPINE LLC (NPI 1689468308), doing business as Vip Spine, is a healthcare organization registered as a pain in Las Vegas, Nevada and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Rodney Spencer Smith, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1689468308
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameVIP SPINE LLC
Location Address7455 W AZURE DR STE 140Las Vegas, NV 89130-4431
Mailing Address7455 W Azure Dr Ste 140Las Vegas, NV 89130-4431 · (702) 765-4222 · Fax (702) 718-6652
Phone(702) 765-4222
Fax(702) 718-6652
Organization SubpartNo
Authorized OfficialRodney Spencer SmithOwner/operator · (702) 765-4222
Enumeration DateApril 7, 2025
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1689468308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
7455 W AZURE DR STE 140, Las Vegas, NV 89130
Open in Google Maps ↗

Other Names 2

Doing Business AsVip Spine
Other NameVegas Injury Pain & Spine

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vip Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vip Spine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rodney Smith, MD
Pain Management
NPI 1679916126
7455 W AZURE DR STE 140
Las Vegas, NV 89130
(702) 765-4222
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 29D2337863

Vip Spine · Las Vegas, NV
Active · expires Jan 29, 2028
CLIA Number29D2337863
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorRodney Smith
Laboratory Phone(702) 765-4222
Laboratory LocationVip Spine7455 W Azure Dr Ste 140, Las Vegas, NV 89130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vip Spine LLC's NPI number?

The NPI number for Vip Spine LLC is 1689468308. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as VIP Spine. The provider is also known as Vegas Injury Pain & Spine.

Where is Vip Spine LLC located?

Vip Spine LLC is located at 7455 W Azure Dr Ste 140, Las Vegas, NV 89130. The listed phone number is (702) 765-4222.

What is Vip Spine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Vip Spine LLC enrolled in Medicare?

Yes. Vip Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vip Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Vip Spine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vip Spine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2337863) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vip Spine LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.