| NPI | 1134147853 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-18 |
| Last Updated | 2025-07-09 |
| Mailing Address | 9900 N Central Expy Ste 500 Dallas, TX 75231-0928 United States Phone: (702) 360-2100 | Fax: (949) 783-2880 📍 View Map |
| Primary Practice Address | 4488 S Pecos Rd Las Vegas, NV 89121-5030 United States Phone: (702) 436-1001 | Fax: (702) 436-7999 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NV | 070008523 | Railroad Medicare |
| Other (non-Medicare) | AZ | P00660180 | Medicare Railroad AZ |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | NV | 3617 |
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About NPI 1134147853
Lucius Blanchard MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134147853. The primary specialty listed is Dermatology, MOHS-Micrographic Surgery. The provider is located in Las Vegas, NV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134147853?
NPI 1134147853 belongs to Lucius Blanchard MD, a Dermatology, MOHS-Micrographic Surgery in Las Vegas, NV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134147853 active?
The current status of NPI 1134147853 in the NPPES registry is Active. The record was last updated on 2025-07-09.
What specialty is NPI 1134147853?
NPI 1134147853 is classified under the taxonomy Dermatology, MOHS-Micrographic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134147853?
You can verify NPI 1134147853 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134147853?
The primary practice address on file for NPI 1134147853 is 4488 S Pecos Rd, Las Vegas, NV 89121-5030. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134147853 issued?
NPI 1134147853 was first issued (enumerated) on 2006-07-18. The NPPES record was last updated on 2025-07-09.
Practice Location Map
Lucius Blanchard is located at 4488 S Pecos Rd, Las Vegas, NV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lucius Blanchard. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134147853. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 3617 | NV |