Organization Active NPI

Medical Sculpturing & GYN Care, P.C.

  • Medical Specialty Clinic/Center
  • Henderson, NV
National Provider Identifier
1205264876
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
10765 Issued in NV
Legal business name
MEDICAL SCULPTURING & GYN CARE, P.C.
Practice address
2739 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5042
Phone
(702) 538-8888
Fax
(702) 538-8928
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jose Hiram Alvarez
Title
M.D.
Phone
(702) 538-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 10765 NV Primary

Addresses

Primary practice location

2739 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5042

Mailing address

2739 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5042
Phone (702) 538-8888

Other identifiers 1

IdentifierTypeStateIssuer
10765OtherNVMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Medical Sculpting GYN Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2739 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 538-8888

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205264876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 SUNRIDGE HEIGHTS PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525042",
            "telephone_number": "702-538-8888",
            "fax_number": "702-538-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 SUNRIDGE HEIGHTS PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525042",
            "telephone_number": "702-538-8888",
            "fax_number": "702-538-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SCULPTURING & GYN CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "HIRAM",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "702-538-8888"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NV",
            "license": "10765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10765",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.