Organization Active NPI

Monteray Sellers Deandre McGee

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1053887844
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MONTERAY SELLERS DEANDRE MCGEE
Practice address
922 West Owens Avenue
Las Vegas, NV 89106
Phone
(702) 846-6622
Fax
(702) 685-9014
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Africa Nichol Releford
Title
Office Manager
Phone
(702) 846-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

922 West Owens Avenue
Las Vegas, NV 89106

Mailing address

922 West Owens Avenue
Las Vegas, NV 89106
Phone (702) 846-6622

Other names 1

  • Golden Life Company Doing business as

National Provider Directory

National Provider Directory

Locations

922 W Owens Ave
Las Vegas, NV 89106
Phone (702) 684-6337

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1053887844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 WEST OWENS AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-846-6622",
            "fax_number": "702-685-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 WEST OWENS AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-846-6622",
            "fax_number": "702-685-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERAY SELLERS DEANDRE MCGEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "RELEFORD",
        "authorized_official_first_name": "AFRICA",
        "authorized_official_middle_name": "NICHOL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-846-6622"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Life Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2018; 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.