Healthcare Provider Details

I. General information

NPI: 1548173081
Provider Name (Legal Business Name): NEVADA ORTHOPEDIC & SPINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 WIGWAM PKWY STE 330&161
HENDERSON NV
89074-8194
US

IV. Provider business mailing address

1505 WIGWAM PKWY STE 330 & 161
HENDERSON NV
89074-8195
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-0393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR J TAYLOR
Title or Position: OWNER
Credential:
Phone: 702-878-0393