Individual provider Active NPI

Gabrijel Krstanovic

  • Research Study Specialist
  • Las Vegas, NV
National Provider Identifier
1043759806
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
334234175 Issued in NV
Practice address
279 Rolling Springs Dr
Las Vegas, NV 89148-4415
Phone
(702) 937-8251
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X 334234175 NV Primary

Addresses

Primary practice location

279 Rolling Springs Dr
Las Vegas, NV 89148-4415

Mailing address

279 Rolling Springs Dr
Las Vegas, NV 89148-4415
Phone (702) 937-8251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
334234175NVMDResearch Study Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1043759806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 ROLLING SPRINGS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484415",
            "telephone_number": "702-937-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 ROLLING SPRINGS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484415",
            "telephone_number": "702-937-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRSTANOVIC",
        "first_name": "GABRIJEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NV",
            "license": "334234175",
            "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 Feb 13, 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.

Verify at the official NPI Registry.