Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1306843883
Robert Stephan RothM.D.
Active
NPI Number1306843883
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1306843883
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-06-30
Last Updated2021-08-31
Mailing Address2647 Box Canyon Drive
Las Vegas, NV 89128-0450
United States
Phone: (702) 363-5575 | Fax: (702) 646-1727
📍 View Map
Primary Practice Address2647 Box Canyon Dr
Las Vegas, NV 89128-0450
United States
Phone: (702) 363-5575 | Fax: (702) 646-1727
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NV8797License #
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineNV8797
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About NPI 1306843883

Robert Stephan Roth M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306843883. The primary specialty listed is Internal Medicine. 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 2005-06-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1306843883?

NPI 1306843883 belongs to Robert Stephan Roth M.D., a Internal Medicine in Las Vegas, NV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1306843883 active?

The current status of NPI 1306843883 in the NPPES registry is Active. The record was last updated on 2021-08-31.

What specialty is NPI 1306843883?

NPI 1306843883 is classified under the taxonomy Internal Medicine. 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 1306843883?

You can verify NPI 1306843883 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 1306843883?

The primary practice address on file for NPI 1306843883 is 2647 Box Canyon Dr, Las Vegas, NV 89128-0450. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1306843883 issued?

NPI 1306843883 was first issued (enumerated) on 2005-06-30. The NPPES record was last updated on 2021-08-31.

Practice Location Map

Robert Stephan Roth is located at 2647 Box Canyon Dr, Las Vegas, NV. Use the map below to find directions or verify the practice location.

📍 2647 Box Canyon Dr, Las Vegas, NV 89128-0450  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Robert Stephan Roth. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1306843883. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine8797NV
Data Verified from CMS NPPES Last synced: 2026-08-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162