Organization Active NPI

MGG and Groups

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1033617824
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.