IndividualActive
Jason Waite, DPM
NPI 1073950440 · Podiatrist · Las Vegas, NV
Provider details
- NPI number
- 1073950440
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9114085-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone: (516) 506-8839
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110
Castle Dale, UT 84513-0110
Registry dates
- Enumerated
- 2013-05-25
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.