Alexander Selivanov

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2000143.424 Issued in NV

Practice address

3510 E Tropicana Ave Ste M
Las Vegas, NV 89121-7341

Phone

(702) 436-1717

Fax

(702) 438-1718

NPI assigned

Oct 2, 2007

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15538/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1144417247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 E TROPICANA AVE STE M",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217341",
            "telephone_number": "702-436-1717",
            "fax_number": "702-438-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 E TROPICANA AVE STE M",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217341",
            "telephone_number": "702-436-1717",
            "fax_number": "702-438-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIVANOV",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "2000143.424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Dale Selgestad, M.D.
• Ariel Selguera
• Kamel L Selico
• Karion Kambrea Selico
• Justina Selim, OTD
• Layne Sellars, R.N.
• Matthew Jordan Selleck, D.O.
• Jamison Brett Sellers, D.C.
• Kelley Nicole Sellers
• Larshay Sellers

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.