OrganizationActive
National Retail LLC
NPI 1104544220 · Family Medicine Physician · Las Vegas, NV
National Retail LLC is a Family Medicine Physician organization in Las Vegas, NV (NPI 1104544220).
Provider details
- NPI number
- 1104544220
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adin Boldur, Medical Director(702) 853-5055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4260 Cameron St Ste a
Las Vegas, NV 89103-3718
Phone: (702) 853-5055
Street-level locationGet directions
Mailing address
4260 Cameron St Ste a
Las Vegas, NV 89103-3718
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is National Retail LLC's NPI number?
- National Retail LLC's National Provider Identifier (NPI) is 1104544220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is National Retail LLC?
- National Retail LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is National Retail LLC located?
- National Retail LLC's practice location on file with NPPES is 4260 Cameron St Ste a, Las Vegas, NV 89103-3718.
- What is National Retail LLC's phone number?
- The practice phone number listed in the NPPES registry for National Retail LLC is (702) 853-5055.
- Who is the authorized official for National Retail LLC?
- The authorized official listed on National Retail LLC's NPPES record is Adin Boldur, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is National Retail LLC's NPI active?
- Yes — National Retail LLC's NPI (1104544220) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.