Active NPI
Silver State Field Medical Group, LLC
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1003322041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SILVER STATE FIELD MEDICAL GROUP, LLC
- Practice address
- 871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977 - Phone
- (702) 913-9380
- NPI assigned
- Dec 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dell John Navata
- Title
- Owner
- Phone
- (702) 913-9390
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Mailing address
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (702) 913-9380
Other names 1
- Home Visiting Doctors
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1003322041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "702-913-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "702-913-9380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER STATE FIELD MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "NAVATA",
"authorized_official_first_name": "DELL JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-913-9390",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Visiting Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.