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CHARLES H. TADLOCK, M.D. LTD
NPI 1962720078
Non-Pharmacy Dispensing Site in Las Vegas, NV

Active since May 13, 2010
6725 S EASTERN AVE STE 6, LAS VEGAS, NV 89119(702) 474-0200 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles H. Tadlock, M.d. Ltd NPPES

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

CHARLES H. TADLOCK, M.D. LTD (NPI 1962720078) is a healthcare organization registered as a non-pharmacy dispensing site in Las Vegas, Nevada and active in the NPI registry since May 2010. The organization lists Charles H Tadlock, Owner, as its authorized official.

NPPES Registry Identity

NPI1962720078
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHARLES H. TADLOCK, M.D. LTD
Location Address6725 S EASTERN AVE STE 6Las Vegas, NV 89119-3949
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Phone(702) 474-0200
Organization SubpartYes
Authorized OfficialCharles H TadlockOwner · (702) 474-0200
Enumeration DateMay 13, 2010
Last NPPES UpdateMarch 1, 2011
✔ NPI 1962720078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
6725 S EASTERN AVE STE 6, Las Vegas, NV 89119
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Other Identifiers 1

Medicaid2019927NV

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 Charles H. Tadlock, M.D. Ltd's NPI number?

The NPI number for Charles H. Tadlock, M.D. Ltd is 1962720078. It was assigned to this organization in the NPPES registry on May 13, 2010.

Where is Charles H. Tadlock, M.D. Ltd located?

Charles H. Tadlock, M.D. Ltd is located at 6725 S Eastern Ave Ste 6, Las Vegas, NV 89119. The listed phone number is (702) 474-0200.

What is Charles H. Tadlock, M.D. Ltd's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Charles H. Tadlock, M.D. Ltd was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.