Organization Active NPI

Carlos T. Tisbe, M.D., PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1205024437
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10770 Issued in NV
Legal business name
CARLOS T. TISBE, M.D., PLLC
Practice address
3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320
Phone
(702) 454-8236
Fax
(702) 454-8279
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Dr. Carlos T Tisbe, M.D.
Title
Physician
Phone
(702) 454-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 10770 NV Primary

Addresses

Primary practice location

3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320

Mailing address

3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320
Phone (702) 454-8236

Other identifiers 1

IdentifierTypeStateIssuer
01609049MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1205024437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E FLAMINGO RD",
            "address_2": "334",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214320",
            "telephone_number": "702-454-8236",
            "fax_number": "702-454-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E FLAMINGO RD",
            "address_2": "334",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214320",
            "telephone_number": "702-454-8236",
            "fax_number": "702-454-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS T. TISBE, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "TISBE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-454-8236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609049",
            "state": "NV"
        }
    ],
    "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 27, 2009; 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.