Active NPI
MGG and Groups
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1033617824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MGG AND GROUPS
- Practice address
- 2255 Renaissance Dr Ste C
Las Vegas, NV 89119-6751 - Phone
- (702) 434-5114
- NPI assigned
- Jan 26, 2018
- Last updated
- Mar 11, 2020
- 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
- Mary-Grace G Gaerlan
- Title
- Owner
- Phone
- (702) 434-5114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2255 Renaissance Dr Ste C
Las Vegas, NV 89119-6751
Mailing address
2255 Renaissance Dr Ste C
Las Vegas, NV 89119-6751
Phone (702) 434-5114
National Provider Directory
National Provider DirectoryLocations
1771 E Flamingo Rd
Ste 120A
Las Vegas, NV 89119
Phone (702) 318-7550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1033617824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 RENAISSANCE DR STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196751",
"telephone_number": "702-434-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 RENAISSANCE DR STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196751",
"telephone_number": "702-434-5114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGG AND GROUPS",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-26",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "GAERLAN",
"authorized_official_first_name": "MARY-GRACE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-434-5114"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Sarah Mae Agbilay Meza
- Stephanie Meza
- Mga Enterprises, Inc. (Pathways Of Nevada)
- Mga Health Care Services (HomeWell Care Services NV253)
- Eberechukwu Roseli Mgborukwe
- MGML, Inc.
- MH Behavioral Health Services (Fakiel) PLLC
- MH Health Care Services, PC
- MH Health Care Services, PC
- MH Health Care Services, PC (Marathon Health @ S. Jones Blvd)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.