Organization Active NPI

Alan J. Sacks, M.D., LTD, PC

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1063606291
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
9280 Issued in NV
Legal business name
ALAN J. SACKS, M.D., LTD, PC
Practice address
2020 Goldring Ave
Suite 404
Las Vegas, NV 89106-4000
Phone
(702) 471-7721
Fax
(702) 471-7780
NPI assigned
Aug 30, 2007
Organization subpart
Yes
Parent organization
ALAN J. SACKS, M.D., PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Alan J. Sacks, M.D.
Title
Physician/President
Phone
(702) 471-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 9280 NV Primary

Addresses

Primary practice location

2020 Goldring Ave
Suite 404
Las Vegas, NV 89106-4000

Mailing address

2020 Goldring Ave
Suite 404
Las Vegas, NV 89106-4000
Phone (702) 471-7721

Other identifiers 2

IdentifierTypeStateIssuer
2018264MedicaidNV
1265407183OtherNPI FOR ALAN J. SACKS,M.D

National Provider Directory

National Provider Directory
Part of
Alan J Sacks MD LTD PC

Locations

2020 Goldring Ave
#404
Las Vegas, NV 89106
Phone (702) 471-7721

2020 Goldring Ave
Ste 404
Las Vegas, NV 89106
Phone (702) 471-7721

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1063606291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "SUITE 404",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-471-7721",
            "fax_number": "702-471-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "SUITE 404",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-471-7721",
            "fax_number": "702-471-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN J. SACKS, M.D., LTD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAN J. SACKS, M.D., PC",
        "enumeration_date": "2007-08-30",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "702-471-7721",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "9280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018264",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ALAN J. SACKS,M.D",
            "identifier": "1265407183",
            "state": null
        }
    ],
    "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 Apr 3, 2012; 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.